Outpatient management of obscure gastrointestinal bleeding: A new perspective in high-risk patients

doi:10.3748/wjg.v30.i19.2502

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May 21, 2024 (publication date) through Mar 7, 2026

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. May 21, 2024; 30(19): 2502-2504
Published online May 21, 2024. doi: 10.3748/wjg.v30.i19.2502

Outpatient management of obscure gastrointestinal bleeding: A new perspective in high-risk patients

Maria Elena Riccioni, Clelia Marmo

Maria Elena Riccioni, Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Università Cattolica del Sacro Cuore, Largo Agostino Gemelli, Rome 00168, Italy

Clelia Marmo, CEMAD Centro Malattie Dell’Apparato Digerente, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Università Cattolica del Sacro Cuore, Largo Agostino Gemelli, Rome 00168, Italy

Author contributions: Riccioni ME wrote this manuscript; Marmo C consulted and analyzed the literature.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Corresponding author: Maria Elena Riccioni, MD, PhD, Academic Research, Adjunct Professor, Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Università Cattolica del Sacro Cuore, Largo Agostino Gemelli, Largo Gemelli 8, Rome 00168, Italy. mariaelena.riccioni@unicatt.it

Received: January 17, 2024
Revised: April 8, 2024
Accepted: April 25, 2024
Published online: May 21, 2024
Processing time: 124 Days and 1.8 Hours

Abstract

Mid-gastrointestinal bleeding accounts for approximately 5%-10% of all gastrointestinal bleeding cases, and vascular lesions represent the most frequent cause. The rebleeding rate for these lesions is quite high (about 42%). We hereby recommend that scheduled outpatient management of these patients could reduce the risk of rebleeding episodes.

Keywords: Gastrointestinal bleeding; Small bowel bleeding; Recurrent bleeding; Re-bleeding risk; Rebleeding; Outpatient management

Core Tip: A scheduled outpatient management of patients who have suffered gastrointestinal bleeding, by a dedicated team of physicians could reduce the risk of rebleeding in patients who have suffered gastrointestinal bleeding. A multidisciplinary approach is recommended in patients with multiple comorbidities.