EBQ:Nasogastric aspiration and lavage in emergency department patients with hematochezia or melena without hematemesis: Difference between revisions

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===Exclusion Criteria===
===Exclusion Criteria===
Studies that included patients with esophageal varices, hematemesis, or coffee ground emesis.


==Interventions==  
==Interventions==  

Revision as of 19:43, 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

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

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.

Subgroup analysis

Criticisms & Further Discussion

Funding

Sources