Class 2c low or medium risk in Forrest criteria for UGI hemorrhage?

Forrest classification is a system used to classify the risk of bleeding and the likelihood of re-bleeding in patients with upper gastrointestinal (UGI) hemorrhage. The classification is based on the appearance of the bleeding lesion during endoscopy.

In Forrest classification, class 2c lesions are characterized by active bleeding from a visible vessel. The risk associated with class 2c lesions is generally considered high, as the visible vessel indicates a high risk of re-bleeding.

However, the risk level of class 2c lesions in Forrest classification is still considered to be within the medium range, as it is lower than the highest-risk classes (i.e., class 1a and 1b) and higher than the lowest-risk classes (i.e., class 2a and 2b).

It is important to note that the management and treatment of UGI hemorrhage depend on multiple factors, including the patient’s clinical presentation, comorbidities, and individualized risk assessment. Therefore, the management of a patient with a class 2c lesion should be determined on a case-by-case basis, in consultation with a gastroenterologist or other healthcare provider.