[Importance of best practice adherence in upper gastrointestinal bleeding]

Rev Med Suisse. 2022 Jun 15;18(786):1228-1229. doi: 10.53738/REVMED.2022.18.786.1228.
[Article in French]


Adherence to international guidelines limits the potentially deleterious consequences for patients with upper gastrointestinal bleeding (UGIB). We report the case of 81-year-old patient admitted for UGIB due to a stomach ulcer (Forrest IIb), with a high risk of rebleeding. Antiaggregation was stopped for 8 days which contrasts with international guidelines that recommend stopping treatment only for 3 to 5 days. Fortunately, he did not present any cardiovascular complication during his stay (near miss). In addition, the patient was left fasting for several days, which necessitated parenteral nutrition, resulting in diabetic decompensation and an extended length of stay.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Gastrointestinal Hemorrhage* / etiology
  • Gastrointestinal Hemorrhage* / therapy
  • Hospitalization
  • Humans
  • Male
  • Stomach Ulcer*