- Forrest classification
Forrest classification - is a classification of
upper gastrointestinal hemorrhage used for purposes of comparison and in selecting patients forendoscopic treatment [http://books.google.com/books?id=e0FDyiGTwM8C&pg=PA151&dq=Forrest+hemorrhage&ei=fwSgSPTjOoiQjgHk3rj7BA&sig=ACfU3U35XabLLmD_cag2vP4Uz-WPmUk1bA]Forrest clasification
Acute hemorrhage
*Forrest I a (Spurting hemorrhage)
*Forrest I b (Oozing hemorrhage)Signs of recent hemorrhage
*Forrest II a (Visible vessel)
*Forrest II b (Adherent clot)
*Forrest II c (Hematin onulcer base)Lesins without active bleeding
*Forrest III (Lesions without signs of recent hemorrhage) [http://www.endoskopischer-atlas.de/m06ae.htm]
Application
Forrest classification is instrumental when stratifying patients with upper gastrointestinal hemorrhage into high and low risk categories for mortality. It is also a significant method of prediction of the risk of rebleeding and very often is used for valuation of theendoscopic intervention modalitiescite web|url=http://www.medfak.ni.ac.yu/amm/2007-html/4-broj/SIGNIFICANCE%20OF%20FORREST%20CLASSIFICATION%20ROCKALLS%20AND%20BLATCHFORDS%20RISK%20....pdf|title=SIGNIFICANCE OF FORREST CLASSIFICATION, ROCKALL’S AND BLATCHFORD’S RISK SCORING SYSTEM IN PREDICTION OF REBLEEDING IN PEPTIC ULCER DISEASE|last=Hadzibulic|first=Edvin |coauthors=Svjetlana Govedarica|accessdate=2008-08-11] . A prospective
controlled study carried out by Dr.Walter Heldwein , J. Schreiner,José Pedrazzoli Júnior , P.Lehnhert atMedizinische Klinik Innenstadt der Universität München revealed that "Forrest criteria are essential for proper planning of endoscopic therapy and urgent surgery in bleeding peptic ulcers"cite journal|author=Heldwein W|coauthors= Schreiner J, Pedrazzoli J, Lehnert P|date=Nov 21, 1989|title=Is the Forrest classification a useful tool for planning endoscopic therapy of bleeding peptic ulcers?|journal=Endoscopy|volume=21(6)|pages=258-62|url=http://www.ncbi.nlm.nih.gov/pubmed/2693077] .ee also
Rockall score References
External links
[http://www.msgh.org.my/resources/forrest.htm Illustrated Forrest classification]
[http://www.clevelandclinicmeded.com/medicalpubs/pharmacy/septoct2003/table1.htm Forrest Classification System with Respective Prognosis]
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