forrest_classification_upper_gi_bleeding v.1

Forrest Classification of Upper GI Bleeding stratifies severity of upper GI bleeding according to endoscopic findings.

Therese Lindberg

therese.lindberg@cambio.se

@CambioCDS

Helps prognosticate and risk stratify patients based on stigmata of recent hemorrhage and decide on discharge versus close inpatient monitoring. Provides gastroenterologists a system to uniformly and simply classify and describe peptic ulcers.

Class: Description: Rebleeding rate: Mortality: Class 1A Active spurting 55% 11% Class 1B Active oozing 55% 11% Class 2A Non-bleeding visible vessel 43% 11% Class 2B Adherent clot 22% 7% Class 2C Flat pigmented spot 10% 3% Class 3 Clean ulcer base 5% 2%

1. Forrest JA, Finlayson ND, Shearman DJ. Endoscopy in gastrointestinal bleeding. Lancet. 1974 Aug 17;2(7877):394-7.

EVALUATION.forrest_classification_upper_gi_bleeding.v0