Reviewer's report
Title:Management of Upper Gastrointestinal Bleeding in a Nigerian tertiary health
facility
Version:2Date:9 September 2014
Reviewer: Wei-Chen Tai
Reviewer's report:
This is an article dealing with “Management of Upper GI bleeding in a Nigerian
tertiary health facility”. This article didn’t give us new information about the
treatment of upper GI bleeding, however, we can understand the medical
circumstance in Nigeria.
There are certain flaws and queries that should be addressed.
Major Compulsory Revisions (1)~(5)
(1)The authors are suggested to change the title to “Management of Upper GI
bleeding in a Nigerian tertiary health resource-poor facility”
(2)The authors should state the limitations of this study in the discussion section.
(3)The authors should strengthen the article and focus on how the situation could
be improved and the potential problem that could allow them to do better in future
(4)The manuscript needs extensive English editing.
(5)Figure 2 is not needed.
Minor Essential Revisions (1)~(7)
(1) Page 6, Line 20
20 multiple source were identified
-> multiple sources were identified
(2) Page 7, Line 5
5 Nasogastric tube was passed to monitor continuous bleeding.
->Nasogastric tube was inserted to monitor continuous bleeding.
(3) Page 7, Line 14
14 variceal bleeding had injection sclerotherapy or rubber band ligation
-> variceal bleeding had received injection sclerotherapy or rubber band ligation
(4) Page 8, Line 1-4
1 the FORREST Classification as follows: FI – Active bleeding (FIa – arterial,
spurting
2 hemorrhage, FIb – oozing hemorrhage), FII – Stigmata of recent haemorrhage
(FIIa – Visible
3 vessel, FIIb – Adherent clot, FIIc –Dark base - haematin covered lesion, FIII
–Lesions
4 without active bleeding.14
-> May cutout the description of the FORREST Classification.
(5) Page 9, Line 7
7 were females with a male to female ratio of 2.6:1. Their ages ranged from 3 to
100 years with
-> The age range of the patients was 3 to 100 years with
(6) Page 10, Line 19
19 therapy. Only 21 (40.4%) patients had variceal band ligation (Figure 2).
-> Figure of variceal band ligation (Figure 2.) might be removed.
(7) Page 27, Table 1
-> In Table 1, there were four patients with gastric polyp as endoscopic diagnosis
of UGIB, one patient with vascular bleeding, would you please give us more
information about the bleeding sources of these four patients.
-> In Table 1, there were eight patients had GIST, does it result in bleeding or
just incidental finding?
Level of interest: An article whose findings are important to those with closely
related research interests
Quality of written English: Needs some language corrections before being
published
Statistical review: No, the manuscript does not need to be seen by a statistician.
Declaration of competing interests:
I declare that I have no competing interests
Reviewer's report
Title:Management of Upper Gastrointestinal Bleeding in a Nigerian tertiary health
facility
Version:2Date:9 September 2014
Reviewer: Wei-Chen Tai
Reviewer's report:
This is an article dealing with “Management of Upper GI bleeding in a Nigerian
tertiary health facility”. This article didn’t give us new information about the
treatment of upper GI bleeding, however, we can understand the medical
circumstance in Nigeria.
There are certain flaws and queries that should be addressed.
Major Compulsory Revisions (1)~(5)
(1)The authors are suggested to change the title to “Management of Upper GI
bleeding in a Nigerian tertiary health resource-poor facility”
(2)The authors should state the limitations of this study in the discussion section.
(3)The authors should strengthen the article and focus on how the situation could
be improved and the potential problem that could allow them to do better in future
(4)The manuscript needs extensive English editing.
(5)Figure 2 is not needed.
Minor Essential Revisions (1)~(7)
(1) Page 6, Line 20
20 multiple source were identified
-> multiple sources were identified
(2) Page 7, Line 5
5 Nasogastric tube was passed to monitor continuous bleeding.
->Nasogastric tube was inserted to monitor continuous bleeding.
(3) Page 7, Line 14
14 variceal bleeding had injection sclerotherapy or rubber band ligation
-> variceal bleeding had received injection sclerotherapy or rubber band ligation
(4) Page 8, Line 1-4
1 the FORREST Classification as follows: FI – Active bleeding (FIa – arterial,
spurting
2 hemorrhage, FIb – oozing hemorrhage), FII – Stigmata of recent haemorrhage
(FIIa – Visible
3 vessel, FIIb – Adherent clot, FIIc –Dark base - haematin covered lesion, FIII
–Lesions
4 without active bleeding.14
-> May cutout the description of the FORREST Classification.
(5) Page 9, Line 7
7 were females with a male to female ratio of 2.6:1. Their ages ranged from 3 to
100 years with
-> The age range of the patients was 3 to 100 years with
(6) Page 10, Line 19
19 therapy. Only 21 (40.4%) patients had variceal band ligation (Figure 2).
-> Figure of variceal band ligation (Figure 2.) might be removed.
(7) Page 27, Table 1
-> In Table 1, there were four patients with gastric polyp as endoscopic diagnosis
of UGIB, one patient with vascular bleeding, would you please give us more
information about the bleeding sources of these four patients.
-> In Table 1, there were eight patients had GIST, does it result in bleeding or
just incidental finding?
Level of interest: An article whose findings are important to those with closely
related research interests
Quality of written English: Needs some language corrections before being
published
Statistical review: No, the manuscript does not need to be seen by a statistician.
Declaration of competing interests:
I declare that I have no competing interests
Please review this paper.
user
Reviewer's report
Title:Management of Upper Gastrointestinal Bleeding in a Nigerian tertiary health
facility
Version:2Date:9 September 2014
Reviewer: Wei-Chen Tai
Reviewer's report:
This is an article dealing with “Management of Upper GI bleeding in a Nigerian
tertiary health facility”. This article didn’t give us new information about the
treatment of upper GI bleeding, however, we can understand the medical
circumstance in Nigeria.
There are certain flaws and queries that should be addressed.
Major Compulsory Revisions (1)~(5)
(1)The authors are suggested to change the title to “Management of Upper GI
bleeding in a Nigerian tertiary health resource-poor facility”
(2)The authors should state the limitations of this study in the discussion section.
(3)The authors should strengthen the article and focus on how the situation could
be improved and the potential problem that could allow them to do better in future
(4)The manuscript needs extensive English editing.
(5)Figure 2 is not needed.
Minor Essential Revisions (1)~(7)
(1) Page 6, Line 20
20 multiple source were identified
-> multiple sources were identified
(2) Page 7, Line 5
5 Nasogastric tube was passed to monitor continuous bleeding.
->Nasogastric tube was inserted to monitor continuous bleeding.
(3) Page 7, Line 14
14 variceal bleeding had injection sclerotherapy or rubber band ligation
-> variceal bleeding had received injection sclerotherapy or rubber band ligation
(4) Page 8, Line 1-4
1 the FORREST Classification as follows: FI – Active bleeding (FIa – arterial,
spurting
2 hemorrhage, FIb – oozing hemorrhage), FII – Stigmata of recent haemorrhage
(FIIa – Visible
3 vessel, FIIb – Adherent clot, FIIc –Dark base - haematin covered lesion, FIII
–Lesions
4 without active bleeding.14
-> May cutout the description of the FORREST Classification.
(5) Page 9, Line 7
7 were females with a male to female ratio of 2.6:1. Their ages ranged from 3 to
100 years with
-> The age range of the patients was 3 to 100 years with
(6) Page 10, Line 19
19 therapy. Only 21 (40.4%) patients had variceal band ligation (Figure 2).
-> Figure of variceal band ligation (Figure 2.) might be removed.
(7) Page 27, Table 1
-> In Table 1, there were four patients with gastric polyp as endoscopic diagnosis
of UGIB, one patient with vascular bleeding, would you please give us more
information about the bleeding sources of these four patients.
-> In Table 1, there were eight patients had GIST, does it result in bleeding or
just incidental finding?
Level of interest: An article whose findings are important to those with closely
related research interests
Quality of written English: Needs some language corrections before being
published
Statistical review: No, the manuscript does not need to be seen by a statistician.
Declaration of competing interests:
I declare that I have no competing interests
assistant