medigraphic.com
ISSN 1684-1824 (Electronic)

2017, Number 3

<< Back Next >>

Rev Méd Electrón 2017; 39 (3)

Behavior of the high digestive bleeding in the five-year period 2009-2013

Oliver SL, Jordán AAD, Alfonso MO, Alejo CO, Cruz MD

Language: Spanish
References: 20
Page: 432-442
PDF size: 78.39 Kb.


ABSTRACT

Introduction: the high digestive hemorrhage is a frequent health problem in the world; it behaves the same in Cuba, in the province of Matanzas and in the hospital where the study was carried out. Currently it is considered a major cause of morbimortality.
Objective: to determine the behavior of the high digestive bleeding in the Military Hospital of Matanzas.
Materials and Methods: a descriptive research was carried out in a five-year period. It included all the patients admitted with that diagnosis and those who presented episodes of hemorrhage even if they were admitted by any other cause. The Rockall index allowed to assess the necessity of surgery, the recidivism and mortality.
Results: most of the patients belonged to the intermediate risk group. Male patients were the most affected one; the group of elder people showed higher incidence. Hemorrhagic gastritis was the first cause of bleeding. Arterial hypertension was the relevant risk factor and smoking the most frequent toxic habit.
Conclusions: as a relevant benefit it was showed the importance of precocious endoscopy for the diagnosis of the hemorrhage cause, treatment and prognosis. It was observed a good correlation between the patient´s prognosis at the admission and his status at the end of the treatment.


REFERENCES

  1. Pérez A, Nuevo J, López Morante A, et al. Situación actual del manejo de la hemorragia digestiva alta no varicosa en España. Gastroenterología y Hepatología [Internet]. 2012 [citado 22 Jul 2013];35(7):468-75. Disponible en: http://www.sciencedirect.com/science/article/pii/S021057051200088X

  2. García B, Veloso N, Godinho R, et al. Visión endoscópica de hemorragia digestiva alta secundaria a tumor del estroma (GIST). A propósito de dos casos. Rev esp enferm dig [Internet]. 2012 [citado 22 Jul 2013];104(1):35-6. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130- 01082012001100008

  3. Rodríguez Hernández Y. Factores de riesgo que incrementan la morbimortalidad en pacientes con hemorragia digestiva alta. Enferm glob [Internet]. 2011 [citado 22 Jul 2013];10(2). Disponible en: http://revistas.um.es/eglobal/article/view/121781

  4. Rodríguez F, Casamayor Callejas E, Goderich Lalán JM, et al. Characterization of hospitalized patients due to high digestive bleeding. MEDISAN [Internet]. 2011 Ene [citado 22 Jul 2013];15(1):58-66. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029- 30192011000100008&lng=es

  5. Casamayor C, Rodríguez Fernández Z, Goderich Lalán JM, et al. Sangrado digestivo alto: consideraciones actuales acerca de su diagnóstico y tratamiento. MEDISAN [Internet]. 2010 Jul [citado 25 Sep 2014];14(5). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029- 30192010000500002&lng=es. hemorragia digestiva alta por enfermedad ácido péptica en pacientes operados. MEDISAN [Internet]. 2013 Abr [citado 25 Sep 2014];17(4):617-24. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029- 30192013000400008&lng=es.

  6. García Orozco L, Piña Prieto LR, Lozada Prado GA, et al. Mortalidad asociada a hemorragia digestiva alta por enfermedad ácido péptica en pacientes operados. MEDISAN [Internet]. 2013 Abr [citado 25 Sep 2014];17(4):617-24. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029- 30192013000400008&lng=es.

  7. Abreu Jarrín M, Ramos Tirado S, Trejo Muñoz N. Caracterización clínicoendoscópica de pacientes con hemorragia digestiva alta. Hospital General Pedro Betancourt de Jovellanos. Rev Med Electrón [Internet]. 2013 Abr [citado 25 Sep 2014];35(2):134-43. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684- 18242013000200005&lng=es

  8. Karol Ramírez J, Menéndez Rivera BM, Cobiellas Rodríguez R. Hemorragia digestiva alta no varicosa: comportamiento e índice de Rockall. Rev Cubana Cir [Internet]. 2014 [citado 25 Sep 2014];53(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932014000100003

  9. Kurien M, Lobo AJ. Acute upper gastrointestinal bleeding. Clin Med (Lond).2015 Oct;15(5):481-5.15-5-481. PubMed PMID: 26430191.

  10. Wang T, Fleischer DE, Kaufman P, et al. The best of times and the worst of times: sustaining the future of academic gastroenterology in the United States- Report of a Consensus Conference Conducted by the AGA Institute Future Trends Committee. Gastroenterology. 2008 Feb;134(2):597-616 Citado en PubMed; PMID: 18242223.

  11. Plaza Santos R, Froilán Torres C, Martín Arranz MD, et al. La hemorragia digestiva alta en el paciente anciano mayor de 80 años. Rev Española de Geriatría y Gerontología [Internet]. 2012 [citado 25 Sep 2014];47(3):110-13. Disponible en: http://www.sciencedirect.com/science/article/pii/S0211139X11002095

  12. Barkun A, Bardou M, Kuipers EJ, et al. International Consensus Upper Gastrointestinal Bleeding Conference Group. International consensus recommendations on the management of patients with nonvariceal upper gastrointestinal bleeding. Ann Intern Med. 2010;152(2):101-13. Citado en PubMed; PIMD: 20083829.

  13. Rodríguez Fernández Z, Acosta González D, Fong Estrada J, et al. Conducta ante la hemorragia digestiva alta por úlcera gastroduodenal en el anciano: consideraciones actuales. Rev Cubana Cir [Internet]. 2010 Mar [citado 22 Jul 2013];49(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 74932010000100011&lng=es.

  14. Sung J, Tsoi K, Ma TK, et al. Causes of mortality in Patientsm with peptic ulcer bleeding: a prospective cohort study of 10,428 cases. Am J Gastroenterol [Internet]. 2010 [citado 22 Jul 2013];105:84–9. Disponible en: http://www.nature.com/ajg/journal/v105/n1/abs/ajg2009507a.html

  15. Marmo R, Koch M, Cipolletta L, et al. Predicting mortality in non-variceal upper gastrointestinal bleeders: validation of the Italian PNED Score and Prospective Comparison with the Rockall Score. Am J Gastroenterol [Ìnternet]. 2010 [citado 22 Jul 2013];105(6):1284-91. Disponible en: http://www.nature.com/ajg/journal/v105/n6/abs/ajg2009687a.html

  16. Almeida Varela R, Pérez Suárez F, Díaz Elías JO, et al. Comportamiento de la hemorragia digestiva alta en el Hospital Universitario «Calixto García». Rev Cubana Cir [Internet]. 2011 Mar [citado 22 Jul 2013];50(1):40-53. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 74932011000100004&lng=es.

  17. Armenteros Torres MC, Palomino Besada AB, Mora González S. Utilidad del índice de Rockall en pacientes con episodios de hemorragia digestiva alta no variceal. Rev Cub Med Mil [Internet]. 2014 [citado 25 Sep 2014];43(2). Disponible en: http://scielo.sld.cu/scielo.php?pid=S0138- 65572014000200006&script=sci_arttext&tlng=pt

  18. Custódio Lima J, Garcia Montes C, Kibune Nagasako C, et al. Performance of the Rockall scoring system in predicting the need for intervention and outcomes in patients with nonvariceal upper gastrointestinal bleeding in a Brazilian setting: a prospective study. Digestion [Internet]. 2013 [citado 25 Sep 2014];88(4):252-7. Disponible en: http://www.karger.com/Article/Abstract/356313

  19. Brullet E. Clinical Judgement versus Risk Scoresfor Predicting Out comein Patients Bleeding from High Risk Peptic Ulcer. Preliminary Results of a Prospective Multicenter Study. Gastroenterology. 2009;136(Suppl1): P-51.

  20. Subhash Ch, Hess EP, Agarwal D, et al. External validation of the Glasgow- Blatchford Bleeding Score and the Rockall Score in the US setting. American Journal of Emergency Medicine [Internet]. 2012 [citado 25 Sep 2014];30(5):673–79. Disponible en: http://mayoclinic.pure.elsevier.com/en/publications/externalvalidation- of-the-glasgow-blatchford-bleeding-score-and-




2020     |     www.medigraphic.com