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Sherif Safwat
Upper gastrointestinal bleeding has 10% in-hospital mortality. Despite significant advances in the management, there has not been any improvement in mortality. The only improvement over the last 25 years has been in variceal bleeds. Increasing age and comorbidities are the major factors related to mortality. Early endoscopic management of severe upper GI bleeds improves survival. Adopting a system which identifies severe bleeding and vulnerable patients is essential.