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

Cohen-Mekelburg, Shirley, MD1; Rosenblatt, Russell, MD2; Mathews, Steven, MD3; Namn, Yunseok, MD3; Tafesh, Zaid, MD2; Wan, David, MD2; Crawford, Carl, MD2

American Journal of Gastroenterology: January 2019 - Volume 114 - Issue 1 - p 165–168
doi: 10.1038/s41395-018-0285-3

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.

1Division of Gastroenterology & Hepatology, Michigan Medicine, Ann Arbor, Mi, 48109, USA;

2Division of Gastroenterology & Hepatology, New York Presbyterian Weill Cornell Medicine, New York, NY, 10021, USA;

3Department of Medicine, New York Presbyterian Weill Cornell Medicine, New York, NY, 10021, USA

Correspondence: Shirley Cohen-Mekelburg, MD. E-mail:

SUPPLEMENTARY MATERIAL accompanies this paper at and

Received May 21, 2018

Accepted August 28, 2018

© The American College of Gastroenterology 2019. All Rights Reserved.
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