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Title of Journal: Dig Dis Sci

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Abbravation: Digestive Diseases and Sciences

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Springer US

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DOI

10.1016/j.arthro.2016.03.012

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1573-2568

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The Diagnostic Yield of Repeated Endoscopic Evalua

Authors: Hassan K Dakik Alyson A McGhan ShihTing Chiu Chetan B Patel Carmelo A Milano Joseph G Rogers SheinChung Chow Daniel M Wild
Publish Date: 2016/01/25
Volume: 61, Issue: 6, Pages: 1603-1610
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Abstract

Left ventricular assist devices LVADs are increasingly common in patients with advanced heart failure GI bleeding GIB occurs in 20–30  of these patients and can arise anywhere in the GI tract Given the high rates of GIB in this population our aim was to determine the diagnostic yield of repeated endoscopic evaluation in these patientsOf the 257 patients with LVADs placed 78 30  underwent at least one endoscopy for GIB A source was identified in 36  of cases most commonly angioectasias 536  Treatment was performed in 679  of patients and hemostasis was achieved in all 641  of the cohort underwent a second endoscopy for GIB 429  of these exams revealed a bleeding source Endoscopic treatment was employed in 762  385  of the cohort underwent a third endoscopic exam for bleeding and a source was identified in 533  with angioectasias remaining most common 563  By Fisher’s exact and Chisquare testing only the presence of a bleeding source p = 00034 and use of hemostatic therapy p = 00127 on the index examination were significantly associated with rebleedingThis work represents original research conducted within Duke University Health System research policies Neither myself nor any of the authors listed above have any pertinent financial or professional conflicts of interest related to this study to disclose

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