Methods: To analyze prospectively the clinical data of 93 NVUGIB patients admitted to the department of Gastroenterology of the General Hospital of Jihua Company during 2012.1–2006.12. Results: (1) General data: male: female = 2.86 : l (69 : 24), mean age23–87 BIBW2992 (56.5 ± 17.8) years with a peak in 60–69 years. The percentage of old patients was significantly higher than that of young and middle age (55.7% VS 20.6% and 23.7%, P = 0.000). (2) Peptic ulcer accounted for 85.6% of all bleeding reasons. (3) 30.3% of NVUGIB patients was needed red blood cell suspension transfusion treatment, average amount of red blood cell suspension was 1180 ml. (4) Average time of emergency

gastroscopy for 9.7 hours after admission. Emergency gastroscopy rate was 78.3%, the positive rate (92.3%) was significantly higher than the emergency gastroscope diagnose rate (58.5%), P = 0.000. Cerebral infarction sequela and old age was a major cause of lead to no do emergency gastroscopy. (5) Average Blatchford score was 12.5 points, patients with blood transfusion patients for an average of 14.3 points, patients without blood transfusion for an average http://www.selleckchem.com/products/mi-503.html of 11.6 points, P = 0.000. Conclusion: Most of the NVUGIB patients

admitted to tertiary general hospitals are elderly males. The causes of peptic ulcer disease is the main cause of NVUGIB. Emergency gastroscopy is helpful to the diagnosis of NVUGIB. Blatchford score for condition assessment is has guiding significance. Patients who have lower Blatchford score can application amount standard proton pump inhibitor therapy as early as possible. Key Word(s): 1. bleeding; 2. Blatchford score; 3. Clinical features; Presenting Author: CHEOL WOONG CHOI Additional Authors: DAE HWAN KANG, HYUNG WOOK KIM, SU BUM PARK, BYUNG JUN SONG, SU JIN KIM, YOUNG MI HONG, CHANG SUK LEE, DONG JUN KIM, BYOUNG HOON JI Corresponding Author: CHEOL WOONG CHOI, HYUNG WOOK KIM Affiliations: Pusan National University Yangsan Hospital Objective: A second-look endoscopy is routinely performed after endoscopic submucosal dissection (ESD) in many institutes. Additional hemostatic procedures might be necessary for the high

risk bleeding of post-ESD ulcers. But the role of routine second-look endoscopy is controversial. 上海皓元 Methods: Between December 2008 and May 2012, 616 ESD (270 early gastric cancers and 346 gastric adenomas) procedures were carried out. Second-look endoscopies were performed on the next day after ESD in all patients. And, the post-ESD ulcers were categorized into two groups according to the Forrest classification: high risk (type I and IIa) and low risk of bleeding. Associated predictable risk factors of high risk bleeding ulcer were also analyzed. Results: Post-ESD bleeding occurred in 2.27% (14/616). The incidence of High risk group was 17.2% (106/616) on the second-look endoscopy. Post-ESD bleeding occurred only in high risk group. On the univariate analysis, fibrosis was the only significant predictive factor.