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2018, Number 1

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Rev Cub Med Mil 2018; 47 (1)

Upper digestive bleeding patient management in the emergency department

Vilaseca SE, Rodríguez RH, Díaz NMÁ, Arañó FM, Rodríguez VÁ

Language: Spanish
References: 21
Page: 2-11
PDF size: 309.25 Kb.


ABSTRACT

Introduction: upper Digestive Bleeding is one of the most frequent syndromes in emergency services. Oral endoscopy, antacid and protective gastric mucosal medications make the use of surgical interventions less common in the management of upper digestive bleeding patients. However, the need for surgical treatment cannot always be overlooked.
Objective: to describe the clinical characteristics of patients with upper digestive bleeding treated at the Military Hospital "Dr. Joaquín Castillo Duany".
Methods: cross-sectional descriptive study. A universe of 92 patients with a diagnosis of upper digestive bleeding. Variables characterized: Age, sex, medical treatment, surgical technique used, postoperative complications, and hospital stay.
Results: upper digestive bleeding was more frequent in men and in patients over 40 years old. In patients in whom medical treatment was applied, the most frequent modality was the combination of anti-H2 antihistamines and proton pump inhibitors. Endoscopic treatment was performed in 3.2 % of patients, and 5.4 % was operated on. Half of the patients underwent gastric peptic ulcer, and the most commonly used surgical technique was gastrostomy. The predominant hospital stay was less than 5 days.


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