Despite advances in the treatment and understanding of upper gastrointestinal bleeding (UGIB), as well as advancements in diagnostic and therapeutic endoscopy the mortality rate of UGIB still remains consistently high. One thought has been that early resuscitation can be the answer to what remains a persistent killer. To prove this point a team of doctors from Maimonides Medical Center tried to figure out what methods work in the intensive resuscitation process and what remains an inefficient tactic.
Thirty-six males and thirty-six females aged 21-94 were enrolled in the study, with each person suffering from either peptic ulcers, melena, hematemesis, or massive hematochezia with a positive nasogastric aspiate for blood. The patients were split into two groups, one that offered intensive resuscitation methods, and one that offered mere observation. Over the next 4 months they were monitored accordingly.