2011, Number 1
<< Back Next >>
Revista Cubana de Cirugía 2011; 50 (1)
Behavior of high digestive hemorrhage in the
Almeida VR, Pérez SF, Díaz EJO, Martínez HJA
Language: Spanish
References: 21
Page: 40-53
PDF size: 306.72 Kb.
ABSTRACT
INTRODUCTION. Most of admissions in emergency rooms are due to high digestive hemorrhages, but frequently there are not available data on the behavior of this type of hemorrhage in our country. The objective of present research was to describe the demographic data, etiologies and behaviors followed in patients with this diagnosis and also of the deaths provoked by this cause.
METHODS. A retrospective study was conducted including patients diagnosed with high digestive hemorrhage admitted in surgery service of the "Calixto García" University Hospital between 2006 and 2007.
RESULTS. Due to this cause 551 patients were admitted prevailing old men with chronic diseases. The 92% undergoes oral panendoscopy. The more frequent causes of recent hemorrhage were the worsened gastroduodenitis and those of the active hemorrhage at moment of endoscopy were the duodenal ulcers. Medical treatment was prescribed in the 89% of cases and the surgical one in the 11%. The 6,8% of patients deceased and the leading causes were the gastroduodenal ulcers, the gastroesophageal varices and the erosive gastroduodenopaties.
CONCLUSIONS. The high digestive hemorrhage has an important place among the causes of admission in the "Calixto García" University Hospital of La Habana.
REFERENCES
Kasem AM. Management of acute upper gastrointestinal tract bleeds in a district hospital. J. Laparoendosc. Adv Surg Tech A. 2006;16(4):355-61.
Velásquez ChH. Hemorragia digestiva por várices esófagogástricas. Acta Méd. Peruana. [seriada en línea] 2006;23(3). 156-161. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1728-59172006000300006&lng=es&nrm=iso .
Enestvedt BK. An evolution of endoscopic indications and findings related to nonvariceal upper GI hemorrhage in a large multicenter consortium. Gastrointest Endosc. 2008;67(3):422-9.
Sonnenberg A, Amorosi SL, Lacey MJ, Lieberman DA. Patterns of endoscopy in the United States: Analysis of data from the Center for Medicare and Medicaid services and the National Endoscopic Database. Gastrointest Endosc. 2008;67(3):489-96.
Kovalak M, Lake J, Mattek N, Eisen G. Patterns of endoscopy in the United States: Endoscopic screening for varices in cirrhotic patients: data from a national endoscopic database. Gastrointest Endosc. 2004;65(1):82-8.
Chen IC, Hung MS, Chiu TF, Chen JC, Hsiao CT. Risk scoring system to predict need for clinical intervention for patients with nonvariceal upper gastrointestinal tract bleeding. Am J Emerg Med. 2007;25(7): 774-9.
Gralnek IM, Dulai GS. Incremental value of upper endoscopy for triage of patients with acute non variceal upper GI hemorrhage. Gastrointest Endosc 2004;60(1):9-14.
Soncini M, Triossi O, Leo P, Magni G, Bertelè AM, Grasso T, et al. Management of patients with nonvariceal upper gastrointestinal hemorrhage before and after the adoption of the Rockall score, in Italian Gastroenterology Units. Eur J Gastroenterol Hepatol. 2007;19 (7): 543-7.
Sanders DS, Carter MJ, Goodchap RJ, Cross SS, Gleeson DC, Lobo AJ. Prospective validation of the Rockall risk scoring system for upper GI hemorrhage in subgroups of patients with varices and peptic ulcers. Am J Gastroenterol. 2002;97(3):630-5.
Gubler C, Fox M, Hengstler P, Abraham D, Eigenmann F, Bauerfeind P. Capsule endoscopy: impact on clinical decision making in patients with suspected small bowel bleeding. Endoscopy. 2007;39(12):1031-6.
Apostolopoulos P, Liatsos C, Gralnek IM, Kalantzis C, Giannakoulopoulou E, Alexandrakis G. Evaluation of capsule endoscopy in active, mild-to-moderate, overt, obscure GI bleeding. Gastrointest Endosc. 2007;66(6):1174-81.
Cruz Alonso JR, Anaya González JL, Pampín Camejo LE, Pérez Blanco D, Lopategui Cabezas I. Mortalidad por sangrado digestivo alto en el Hospital "Enrique Cabrera". Rev Cubana Cir. [seriada en Internet] 2008;47(4). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932008000400006&lng=es&nrm=iso&tlng=es
Rodiles Martínez F, Javier López Mayedo F. Hemorragia Digestiva Alta. Comportamiento Clínico-Epidemiológico. Arch Méd Camagüey [seriada en Internet] 2004;8(6). Disponible en: http://www.amc.sld.cu/amc/2004/v8n6/931.htm
Chiba T, Sato K, Kudara N, Shinozaki H, Ikeda K, Sato K. Upper gastrointestinal disorders induced by nonesteroidal anti inflammatory drug. Inflammopharmacology. 2008;16(1):16-20.
Calvet X, Vergara M. Recurrent bleeding from peptic ulcer. Digestive & Liver Diseases. 2004;36(7):450.
Soriano Álvarez C. Sangramiento en el tracto digestivo. Acta Médica Peruana. 2006;23(3).
Church NI, Dallal HJ, Masson J, Mowat NA. Validity of the Rockall scoring system after endoscopic therapy for bleeding peptic ulcer: a prospective cohort study. Gastrointest Endosc. 2006;63:606.
Feu F, Brullet E, Calvet X. Recomendaciones para el diagnóstico y el tratamiento de la hemorragia digestiva alta aguda no varicosa. Gastroenterol Hepatol 2003;26:70-85.
Baradarian R, Ramdhaney S, Chapalamadugu R. Early intensive resuscitation of patients with upper gastrointestinal bleeding decreases mortality. Am J Gastroenterol 2004;99:619.
Barkun A, Bardou M, Marshall JK. Consensus recommendations for managing patients with nonvariceal upper gastrointestinal bleeding. Ann Intern Med 2003;139:843.
Marco JL, Boscá B. Ingresos por sangramientos digestivos altos por antiinflamatorios no esteroideos. Seguimiento Farmacoterapéutico. 2004;2(4):21727.