EBQ:Nasogastric aspiration and lavage in emergency department patients with hematochezia or melena without hematemesis: Difference between revisions
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===Patient Demographics=== | ===Patient Demographics=== | ||
===Inclusion Criteria=== | ===Inclusion Criteria=== | ||
Studies in which all patients presenting with melena or hematochezia underwent nasogastric aspiration (with or without lavage) followed by esophagogastroduodenal endoscopy (EGD). | |||
===Exclusion Criteria=== | ===Exclusion Criteria=== | ||
Revision as of 19:49, 1 October 2014
incomplete Journal Club Article
Palamidessi N. et al. "Nasogastric aspiration and lavage in emergency department patients with hematochezia or melena without hematemesis". Academic Emergency Medicine. 2010. 17(2):126-32.
PubMed Full text PDF
PubMed Full text PDF
Clinical Question
Is nasogastric lavage and aspiration in the ED an effective test to distinguish between an upper versus lower source of GI bleed in patients who have either melena or hematochezia without hematemesis?
Conclusion
Major Points
Study Design
Systematic literature review.
Population
Patient Demographics
Inclusion Criteria
Studies in which all patients presenting with melena or hematochezia underwent nasogastric aspiration (with or without lavage) followed by esophagogastroduodenal endoscopy (EGD).
Exclusion Criteria
Studies that included patients with esophageal varices, hematemesis, or coffee ground emesis.
Interventions
Outcomes
Primary Outcome
Ability to identify upper vs lower source of gastrointestinal bleed.
Secondary Outcomes
Complications from nasogastric tube insertion.