{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T10:52:44Z","timestamp":1715338364389},"reference-count":20,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Gastroenterol."],"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:p>ContextEarly refeeding after nonvariceal upper gastrointestinal bleeding is safe and reduces hospital stay\/costs.ObjectivesThe aim of this study was obtaining objective data on refeeding after nonvariceal upper gastrointestinal bleeding.MethodsFrom 1 year span records of nonvariceal upper gastrointestinal bleeding patients that underwent urgent endoscopy: clinical features; rockall score; endoscopic data, including severity of lesions and therapy; feeding related records of seven days: liquid diet prescription, first liquid intake, soft\/solid diet prescription, first soft\/solid intake.ResultsFrom 133 patients (84 men) Rockall classification was possible in 126: 76 score \u22655, 50 score &lt;5. One persistent bleeding, eight rebled, two underwent surgery, 13 died. Ulcer was the major bleeding cause, 63 patients underwent endoscopic therapy. There was 142\/532 possible refeeding records, no record 37% patients. Only 16% were fed during the first day and half were only fed on third day or later. Rockall &lt;5 patients started oral diet sooner than Rockall \u22655. Patients that underwent endoscopic therapy were refed earlier than those without endotherapy.ConclusionsMost feeding records are missing. Data reveals delayed refeeding, especially in patients with low-risk lesions who should have been fed immediately. Nonvariceal upper gastrointestinal bleeding patients must be refed earlier, according to guidelines.<\/jats:p>","DOI":"10.1590\/s0004-28032014000200011","type":"journal-article","created":{"date-parts":[[2014,7,7]],"date-time":"2014-07-07T17:12:55Z","timestamp":1404753175000},"page":"128-132","source":"Crossref","is-referenced-by-count":3,"title":["BLEEDING AND STARVING: fasting and delayed refeeding after upper gastrointestinal bleeding"],"prefix":"10.1590","volume":"51","author":[{"given":"Jorge","family":"FONSECA","sequence":"first","affiliation":[{"name":"Grupo de Estudo de Nutri\u00e7\u00e3o Ent\u00e9rica - GENE, Portugal; Instituto Superior de Ci\u00eancias da Sa\u00fade Egas Moniz, Portugal"}]},{"given":"T\u00e2nia","family":"MEIRA","sequence":"additional","affiliation":[{"name":"Grupo de Estudo de Nutri\u00e7\u00e3o Ent\u00e9rica - GENE, Portugal"}]},{"given":"Ana","family":"NUNES","sequence":"additional","affiliation":[{"name":"Grupo de Estudo de Nutri\u00e7\u00e3o Ent\u00e9rica - GENE, Portugal"}]},{"given":"Carla Adriana","family":"SANTOS","sequence":"additional","affiliation":[{"name":"Grupo de Estudo de Nutri\u00e7\u00e3o Ent\u00e9rica - GENE, Portugal"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"843","DOI":"10.7326\/0003-4819-139-10-200311180-00012","article-title":"Nonvariceal Upper GI Bleeding Consensus Conference Group. Consensus recommendations for managing patients with nonvariceal upper gastrointestinal bleeding","volume":"139","author":"Barkun A","year":"2003","journal-title":"Ann Intern Med"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1238","DOI":"10.1111\/j.1572-0241.2004.30272.x","article-title":"The Canadian Registry on Nonvariceal Upper Gastrointestinal Bleeding and Endoscopy (RUGBE): endoscopic hemostasis and proton pump inhibition are associated with improved outcomes in a real-life setting","volume":"99","author":"Barkun A","year":"2004","journal-title":"Am J Gastroenterol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"iv1","DOI":"10.1136\/gut.51.suppl_4.iv1","article-title":"Non-variceal upper gastrointestinal haemorrhage: guidelines","volume":"51","year":"2002","journal-title":"Gut"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1111\/j.1365-2036.2010.04495.x","article-title":"Hospitalized incidence and case fatality for upper gastrointestinal bleeding from 1999 to 2007: a record linkage study","volume":"33","author":"Button LA","year":"2011","journal-title":"Aliment Pharmacol Ther"},{"key":"ref5","first-page":"282","article-title":"Quand faut-il reprendre l\u2019alimentation orale apr\u00e8s h\u00e9morragieulc\u00e9reuse gastro-duod\u00e9nale? Etude contr\u00f4l\u00e9e randomis\u00e9e [When should patients with bleeding peptic ulcer resume oral intake? A randomized controlled study]","volume":"22","author":"de L\u00e9dinghen V","year":"1998","journal-title":"Gastroenterol Clin Biol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.gastrohep.2012.02.012","article-title":"Nonvariceal upper gastrointestinal bleeding in Portugal: a multicentric retrospective study in twelve Portuguese hospitals","volume":"35","author":"Fonseca J","year":"2012","journal-title":"Gastroenterol Hepatol"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1016\/S0140-6736(74)91770-X","article-title":"Endoscopy in gastrointestinal bleeding","volume":"2","author":"Forrest JA","year":"1974","journal-title":"Lancet"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1007\/s10620-008-0364-1","article-title":"Acute upper gastrointestinal bleeding in central Greece: the role of clinical and endoscopic variables in bleeding outcome","volume":"54","author":"Kapsoritakis AN","year":"2009","journal-title":"Dig Dis Sci"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1111\/j.1443-1661.2012.01347.x","article-title":"Effects of early oral feeding on relapse and symptoms of upper gastrointestinal bleeding in peptic ulcer disease","volume":"25","author":"Khoshbaten M","year":"2013","journal-title":"Dig Endosc"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1016\/0016-5085(92)91816-M","article-title":"Prospective evaluation of immediate versus delayed refeeding and prognostic value of endoscopy in patients with upper gastrointestinal hemorrhage","volume":"102","author":"Laine L","year":"1992","journal-title":"Gastroenterology"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"1225","DOI":"10.1111\/j.1365-2036.2011.04651.x","article-title":"Clinical predictors of poor outcomes among patients with nonvariceal upper gastrointestinal bleeding in Europe","volume":"33","author":"Lanas A","year":"2011","journal-title":"Aliment Pharmacol Ther"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1007\/s12325-012-0069-x","article-title":"Variability in the management of nonvariceal upper gastrointestinal bleeding in Europe: an observational study","volume":"29","author":"Lanas A","year":"2012","journal-title":"Adv Ther"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1111\/j.1365-2036.2005.02546.x","article-title":"Systematic review and meta-analysis: proton-pump inhibitor treatment for ulcer bleeding reduces transfusion requirements and hospital stay-results from the Cochrane Collaboration","volume":"22","author":"Leontiadis GI","year":"2005","journal-title":"Aliment Pharmacol Ther"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1016\/j.gie.2008.10.051","article-title":"Changing trends in acute upper-GI bleeding: a population-based study","volume":"70","author":"Loperfido S","year":"2009","journal-title":"Gastrointest Endosc"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1038\/ajg.2008.62","article-title":"Non-variceal upper GI bleeding in patients already hospitalized for another condition","volume":"104","author":"Muller T","year":"2009","journal-title":"Am J Gastroenterol"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1007\/s00535-003-1159-y","article-title":"The influence of feeding on gastric acid suppression in Helicobacter pylori-positive patients treated with a proton pump inhibitor or an H2-receptor antagonist after bleeding from a gastric ulcer","volume":"38","author":"Ozawa T","year":"2003","journal-title":"J Gastroenterol"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1136\/bmj.311.6999.222","article-title":"Incidence of and mortality from acute upper gastrointestinal haemorrhage in the United Kingdom. Steering Committee and members of the National Audit of Acute Upper Gastrointestinal Haemorrhage","volume":"311","author":"Rockall TA","year":"1995","journal-title":"BMJ"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"1138","DOI":"10.1016\/S0140-6736(96)90607-8","article-title":"Selection of patients for early discharge or outpatient care after acute upper gastrointestinal haemorrhage. National Audit of Acute Upper Gastrointestinal Haemorrhage","volume":"347","author":"Rockall TA","year":"1996","journal-title":"Lancet"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"455","DOI":"10.7326\/0003-4819-150-7-200904070-00105","article-title":"Intravenous esomeprazole for prevention of recurrent peptic ulcer bleeding: a randomized trial","volume":"150","author":"Sung JJ","year":"2009","journal-title":"Ann Intern Med"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"1456","DOI":"10.1016\/j.cgh.2006.08.018","article-title":"Trends in management and outcomes of acute nonvariceal upper gastrointestinal bleeding: 1993-2003","volume":"4","author":"Targownik LE","year":"2006","journal-title":"Clin Gastroenterol Hepatol"}],"container-title":["Arquivos de Gastroenterologia"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/ag\/v51n2\/0004-2803-ag-51-02-128.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,15]],"date-time":"2023-07-15T01:34:48Z","timestamp":1689384888000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0004-28032014000200128&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,6]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2014,6]]}},"alternative-id":["S0004-28032014000200128"],"URL":"https:\/\/doi.org\/10.1590\/s0004-28032014000200011","relation":{},"ISSN":["0004-2803"],"issn-type":[{"value":"0004-2803","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,6]]}}}