Dear Members this article is taken from REBEL EM By Salim Rezaie, MD. Let's see if this helps us in deciding the use of NG lavage in UGI bleed in Emergency Department. I would like active comments and your opinion on this article. Nasogastric lavage (NGL) seems to be a logical procedure in the evaluation of patients with suspected upper GI bleeding, but does the evidence support the logic? Most studies state that endoscopy should occur within 24 hours of presentation, but the optimal timing within the first 24 hours is unclear.
Rebleeding is the greatest predictor of mortality, and these patients benefit from aggressive, early endoscopic hemostatic therapy and/or surgery. So what are the arguments for and against NGL? PRO nasogastric lavage 1. A Positive NGL is Predictive of a High Risk Lesion [1] What they did: Retrospective chart review of 520 pts with NGL before endoscopy Find an…
