Endoscopic diagnosis and management of nonvariceal upper gastrointestinal hemorrhage (NVUGIH): European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 2021

Short summary

The ESGE recommends using the Glasgow-Blatchford Score (GBS) for pre-endoscopy risk stratification in acute upper GI bleeding, suggesting outpatient management for GBS ≤ 1. Aspirin should not be interrupted for secondary cardiovascular prophylaxis and should be restarted within 3-5 days if stopped. Early (≤ 24 hours) upper GI endoscopy is recommended post-resuscitation, but urgent (<12 hours) endoscopy is not advised as it doesn't improve outcomes.

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