is class 2c low or medium risk in Forrest criteria for UGI hemorrhage?
Forrest classification is a widely used system to stratify the risk of rebleeding and predict the need for endoscopic treatment in upper gastrointestinal (GI) bleeding.
Class 2c in the Forrest classification system is considered a high-risk lesion. Specifically, it refers to an active bleeding ulcer with a visible vessel. The risk of rebleeding with this type of lesion is estimated to be around 50%, and therefore, it is generally recommended that these ulcers receive endoscopic treatment, such as injection therapy, thermal therapy, or clipping, to reduce the risk of rebleeding.
It is important to note that the risk classification in the Forrest criteria may vary depending on the source, and different sources may have slightly different definitions and classifications. Nonetheless, in most sources, class 2c in Forrest classification is considered a high-risk lesion.