Forrest classification
Forrest classification is a classification of upper gastrointestinal hemorrhage used for purposes of comparison and in selecting patients for endoscopic treatment.Forrest classification
Acute hemorrhage
Signs of recent hemorrhage
- Forrest II a
- Forrest II b
- Forrest II c
Lesions without active bleeding
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 evaluation of the
endoscopic intervention modalities. A prospective controlled study carried out by Dr. Walter Heldwein, J. Schreiner, José Pedrazzoli Júnior, P.Lehnhert at Medizinische Klinik Innenstadt der Universität München revealed that "Forrest criteria are essential for proper planning of endoscopic therapy and urgent surgery in bleeding peptic ulcers".History
The classification was first published by J.A. Forrest et al. in the Lancet in 1974.
