To Scope or Not to Scope? The Safety of Upper Endoscopy in the Setting of Pulmonary Embolism

Am J Gastroenterol. 2019 Jan;114(1):165-168. doi: 10.1038/s41395-018-0285-3.

Abstract

Objectives: We aimed to describe the frequency of upper endoscopy and associated outcomes in subjects hospitalized with upper GI bleeding (UGIB) and pulmonary embolism (PE).

Methods: We performed a cross-sectional study using the Nationwide Inpatient Sample from 2007 to 2014. The association between upper endoscopy and in-hospital mortality was evaluated using propensity score matching.

Results: A total of 44,412 subjects had a coexistent PE and UGIB. 63.5% had an inpatient upper endoscopy with a lower likelihood of in-hospital death and a shorter length of stay.

Conclusions: A substantial proportion of inpatients with PE and UGIB undergo endoscopy with a relatively lowmortality rate.

Publication types

  • Observational Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Female
  • Gastrointestinal Hemorrhage / diagnosis
  • Gastrointestinal Hemorrhage / diagnostic imaging
  • Gastrointestinal Hemorrhage / mortality*
  • Gastroscopy / adverse effects*
  • Hospital Mortality
  • Humans
  • Inpatients*
  • Male
  • Middle Aged
  • Postoperative Complications / epidemiology
  • Postoperative Complications / etiology
  • Propensity Score
  • Pulmonary Embolism*
  • Retrospective Studies
  • United States / epidemiology
  • Young Adult