S1377: Very Early Endoscopy (EGD) for Acute Non-Variceal Upper GI Tract Hemorrhage: Sooner May Not Always Be Better

Abstract

Although it is well established that early EGD (i.e. <24h) improves outcomes in nonvariceal upper GI tract hemorrhage (NVUGHI), it is possible that very early EGD (<12 h) may result in an unsatisfactory examination due to persistent intra-gastric blood requiring repeat EGD and higher costs. There may be a fine balance between performing timely EGD and waiting long enough to ensure optimization of the exam. We evaluated the independent association between very early EGD and satisfaction with the exam in a retrospective NVUGIH cohort.