Upper GI Bleed With Visible Vessel: How Long to Observe After Treatment?

Some patients with upper GI bleeding can be sent home after endoscopy; others require extended treatment and inpatient observation.

A 40-year-old man presented to the hospital with an upper gastrointestinal bleed. Upper endoscopy revealed a visible vessel in an ulcer base, which was treated with epinephrine and thermal coagulation. You start him on a proton pump inhibitor.

What is the recommended duration of in-house observation?

A. May discharge on day of procedure
B. 24 hours
C. 48 hours
D. 72 hours
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