Commentary: Natural history and management of acute upper GI bleeding due to tumours

摘要

Compared with peptic ulcer bleeding, there is limited knowledge on the natural history of tumour-related bleeding and the use of endoscopic haemostasis in this setting. To date, only limited data from small case series are available.In the article by Sheibani et al,3 additional data shed light on the outcomes of 106 patients who presented with upper gastrointestinal bleeding from tumours. There are two key results of note. The first is the high success rate of haemostasis at the index endoscopy (86%) and the second is the high rebleeding rate (49%), both of which are similar to previous studies.1' 2 Logistic regression confirmed haemodynamic instability as an already known risk factor for rebleeding, but young age (less than 60 years) is not commonly used as a risk factor to predict the outcome of patients with upper gastrointestinal bleeding.