GI Bleeding: The Cost of Getting It Wrong
The afternoon opens with the emergency, where the cost is driven less by the first procedure than by getting timing, operator or technique wrong and doing it all again. And the biggest hidden cost has a name now: the wrong person holding the scope — an opportunity cost as much as a materials cost.
Running order (indicative)
- Head
- Dr Roland Valorianchors the studio throughout
- Talk 1
- Dr Manmeet MatharooEvery Hour Counts, Every Wrong Call Costs: Timing and Triage in GI Bleeding
- Talk 2
- Dr Vikash LalaMatching Device — and Operator — to Indication: The True Cost of Haemostasis
- Live case
- Prof David TateProf Michael BretthauerBleeding / bleeding-risk lesion for live haemostasis — technique & device choice
- Discussion
- Allremaining session time
The session, as written
Lecture 1 — Every hour counts, every wrong call costs. (Matharoo). Glasgow-Blatchford 0–1 can avoid admission and endoscopy altogether; most admitted bleeds should be scoped within 24 hours of resuscitation. The real cost of the out-of-hours reflex, weighed against next-day lists — and the triage decisions that put the right operator in front of the bleed.
Lecture 2 — Matching device, and operator, to indication. (Lala). Where a costly device genuinely pays for itself — the over-the-scope clip that prevents the re-bleed — and where it is habit; each choice justified by the re-admission it prevents, and priced by number-needed-to-treat rather than by the price list. Every device not opened is also a device not manufactured, shipped and binned.
Live case — haemostasis under the clock. A bleeding or high-risk lesion managed live; the audience commits to technique and device before the operator reveals the strategy.
