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. 2008 Oct 1;10(5):363–370. doi: 10.1080/13651820802247086

Table I. Proposed classification of PPH: clinical condition, diagnostic and therapeutic endoscopy consequences (10).

Grade Time of onset, location, severity and clinical impact of bleeding Clinical condition Diagnostic consequence Therapeutic endoscopy consequence
A Early, intra or extraluminal mild Well Observation, blood count, USG and, if necessary CT No
B Early, intra or extraluminal severe Late, intra or extraluminal, mild Often well/intermediate Very rarely life-threatening Observation, blood count, USG, angiography, CT endoscopy Transfusion of fluid/blood, ICU, therapeutic embolisation relaparotomy for early PPH
C Late intra or extraluminal, severe Severely impaired life-threatening Angiography, CT endoscopy Localisation of bleeding, angiography and embolisation, (endoscopy) or relaparotomy, ICU