When Can we Feed after a Gastrointestinal Bleed?

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Date: Jan. 2022
From: Current Gastroenterology Reports(Vol. 24, Issue 1)
Publisher: Springer
Document Type: Report; Brief article
Length: 234 words

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Abstract :

Keywords: Gastrointestinal bleeding; Feeding; Nutrition; Peptic ulcer disease; Esophageal variceal bleeding Abstract Purpose of Review Gastrointestinal (GI) bleeding can carry minimal or significant risk for recurrent hemorrhage. Timing of feeding after GI bleeding remains an area of debate, and here we review the evidence supporting recommendations. Recent Findings Improved understanding of the pathophysiology of GI bleeding and the evolution of treatment strategies has significantly altered the management of GI bleeding and the associated propensity for rebleeding. Early feeding following peptic ulcer bleeding remains ill-advised for high risk lesions while early initiation of liquid diets following cessation of esophageal variceal bleeding is appropriate and shortens hospital stays. Summary Time to feeding following GI bleeding is inherently based on the disease etiology, severity, and risk of recurrent hemorrhage. With evolving standards of care, rates of rebleeding following endoscopic hemostasis are decreasing. Some evidence exists for early feeding however, larger multi-center trials are needed to help optimize timing of feeding in higher risk lesions. Author Affiliation: (1) Department of Surgery, Division of Acute Care and Regional General Surgery, University of Wisconsin- Madison, Madison, WI, USA (2) Department of Surgery, Section of Acute Care Surgery, Virginia Technical Institute Carilion School of Medicine, Roanoke, VA, USA (3) Department of Internal Medicine, Division of Gastroenterology, Hepatology, and Nutrition Virginia Commonwealth University Medical Center, Richmond, VA, USA (a) busch@surgery.wisc.edu Article History: Registration Date: 01/27/2022 Accepted Date: 01/13/2022 Online Date: 02/11/2022 Byline:

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Gale Document Number: GALE|A695551121