Digestive Diseases and Sciences

, Volume 26, Supplement 7, pp S12–S16 | Cite as

Benefit of endoscopy in upper gastrointestinal bleeding in patients with liver disease

  • Raymond S. Koff
Part 1: Potential Benefits of Diagnostic Endoscopy


If endoscopy of the gastrointestinal bleeder with liver disease does not directly benefit the patient because he has a poor survival rate regardless of the lesion, and specific treatment of identified lesions has yet to influence mortality in these terribly ill patients, of what use is endoscopy in the care of these patients? As a user of endoscopy, I believe that patients with liver disease and gastrointestinal bleeding are a prime group for endoscopy because the procedure enhances my confidence and understanding of the clinical situation. It permits me to rationally plan immediate and future management, to individualize therapy, and to provide appropriate counseling the the patient and family. That these benefits do not necessarily alter morbidity and mortality should not be construed as a failure of endoscopy. Rather, they indicate our present inability to develop and implement effective measures in critically ill patients with severe liver disease.


Public Health Survival Rate Liver Disease Specific Treatment Clinical Situation 
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Copyright information

© Digestive Disease Systems, Inc. 1981

Authors and Affiliations

  • Raymond S. Koff
    • 1
  1. 1.Hepatology SectionVA Medical CenterBoston

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