Abstract
The use of nasogastric lavage (NGL) in the diagnosis of upper gastrointestinal bleeding (UGIB) is common place in the United States. However, the practice remains controversial, as its sensitivity and negative predictive value are poor. It is also an invasive, painful procedure and has the potential to cause complications. The Blatchford score is a validated severity scoring system that does not require NGL, and may serve as a better tool to stratify patients. We evaluated whether NGL results and other factors were associated with time to esophagogastroduodenoscopy (EGD) in patients presenting to the emergency department (ED) with UGIB.
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