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Low-Risk UGIB Outpatient Endoscopy — RACP Adult Medicine MCQ

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EasyGastroenterologyLow-Risk UGIB Outpatient EndoscopyRACP Adult Medicine

A 40-year-old woman presents with a single episode of melaena. She is haemodynamically stable (HR 75, BP 130/80). Hb is 125 g/L. No significant comorbidities. Glasgow-Blatchford Score is 0. She has no prior GI history. What is the most appropriate timing for endoscopy?

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Correct answer: A — Outpatient endoscopy within 2 weeks

GBS of 0 identifies very low-risk patients who can be safely discharged from ED for outpatient endoscopy. The GBS 0 criteria: Hb ≥130 (men)/≥120 (women), systolic BP ≥110, HR <100, no melaena, syncope, heart failure, or liver disease, BUN <6.5. Multiple studies confirm <1% chance of requiring intervention. Outpatient OGD within 2 weeks is appropriate.

Reference: GESA – 2024 – Upper GI Bleeding; Stanley 2009 GBS Validation