We are writing with regard to the recently published British Society of Gastroenterology (BSG) lower GI bleeding (LGIB) guidelines.1 We have significant concerns about some of the recommendations. The quick reference flowchart suggests that patients with stable LGIB (shock index <1), classed as having a major (risk scored) bleed, should be admitted for a lower GI endoscopy on the next available list. This is inconsistent with the main body of the guideline which states: a colonoscopy on the next available list. We find this recommendation concerning, particularly as it has implications for endoscopy unit resources, inpatient services, and patient safety. Delivering urgent inpatient colonoscopy in this cohort of patients is logistically challenging. Is a colonoscopy necessary for all? The acute LGIB national audit showed that 73.9% of patients presented with rectal …

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对英国胃肠病学会下消化道出血指南建议的担忧

我们正在撰写关于最近发布的英国胃肠病学会 (BSG) 下消化道出血 (LGIB) 指南1。我们对其中的一些建议表示严重关切。快速参考流程图表明，LGIB 稳定（休克指数 <1）的患者被归类为大出血（风险评分），应在下一个可用列表中接受下消化道内窥镜检查。这与指南的主体内容不一致，该指南指出：下一个可用列表中的结肠镜检查。我们发现该建议与内窥镜检查单位资源、住院服务和患者安全有关，特别是因为它具有影响。在这组患者中进行紧急住院结肠镜检查在后勤方面具有挑战性。所有人都需要结肠镜检查吗？急性 LGIB 国家审计显示，73.