Annals of Emergency Medicine
Volume 55, Issue 4 , Pages 365-366 , April 2010

Just Say No: Gastric Aspiration and Lavage Rarely Provide Benefit

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  4. Witting M, Magder L, Heins A, et al. Usefulness and validity of diagnostic nasogastric aspiration in patients without hematemesis. Ann Emerg Med. 2004;43:525–532
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  6. Adamopoulos AB, Baibas NM, Efstathiou SP, et al. Differentiation between patients with acute upper gastrointestinal bleeding who need early urgent upper gastrointestinal endoscopy and those who do not (A prospective study). Eur J Gastroenterol Hepatol. 2003;15:381–387
  7. Aljebreen AM, Fallone CA, Barkun AN. Nasogastric aspirate predicts high-risk endoscopic lesions in patients with acute upper-GI bleeding. Gastrointest Endosc. 2004;59:172–178
  8. Marmo R, Koch M, Cipolletta L, et al. Predictive factors of mortality from non-variceal upper gastrointestinal hemorrhage: a multicenter study. Am J Gastroenterol. 2008;103:1639–1647
  9. Stanley AJ, Ashley D, Dalton HR. Outpatient management of patients with low-risk upper-gastrointestinal haemorrhage: multicentre validation and prospective evaluation. Lancet. 2009;373:42–47
  10. Lee SD, Kearney DJ. A randomized controlled trial of gastric lavage prior to endoscopy for acute upper gastrointestinal bleeding. J Clin Gastroenterol. 2004;38:861–865
  11. Frossard JL, Spahr L, Queneau PE, et al. Erythromycin intravenous bolus infusion in acute upper gastrointestinal bleeding: a randomized, controlled, double-blind trial. Gastroenterology. 2002;123:17–23
  12. Carbonell N, Pauwels A, Serfaty L, et al. Erythromycin infusion prior to endoscopy for acute upper gastrointestinal bleeding: a randomized, controlled, double-blind trial. Am J Gastroenterol. 2006;101:1211–1215

 Supervising editor: William R. Mower, MD, PhD

PII: S0196-0644(09)01708-9

doi: 10.1016/j.annemergmed.2009.10.016

Annals of Emergency Medicine
Volume 55, Issue 4 , Pages 365-366 , April 2010

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