Table 2.
Type | Endoscopic characteristics | Bleeding causality | Clinical manifestations | Bleeding recurrence probability |
Type 1 | Punctuated or patchy lesions with non-pulsatile active bleeding | Certain | Overt bleeding; high frequency of hemodynamic instability | Very high, without hemostatic treatment |
Type 2 | Non-actively bleeding lesion; stigmata of hemorrhage (ulcer, adherent clot, digested blood debris) | High | Frequently overt bleeding; lower frequency of hemodynamic instability than Type 1 lesions | Highly likely |
Type 3 | Bright red spots; typical images | Moderate or mild | Overt or occult bleeding; low or null frequency of hemodynamic instability Iron deficiency anemia | Moderate rate; frequently IDA is dependent on iron supplements or blood transfusion |
Type 4 | Pale red spots | Low or null | Generally occult bleeding Chronic IDA; extra digestive cause of bleeding should be ruled out | When other sources of bleeding have been excluded, re-bleeding is low |
IDA: Iron deficient anemia.