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Colegio de Medicos y Cirujanos República de Costa Rica
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2008, Number 586

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Rev Med Cos Cen 2008; 65 (586)

Manejo inicial del sangrado digestivo

Gómez HW
Full text How to cite this article

Language: Spanish
References: 14
Page: 341-350
PDF size: 308.56 Kb.


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ABSTRACT

The importance of the gastrointestinal bleeding rises every day in our emergency departments. The diagnostic methods grow and develop faster than therapeutic methods. The approach to gastrointestinal bleeding depends on the site and de intensity of bleeding. The Treitz ligament defines the limits on upper and lower gastrointestinal bleeding. Early resuscitation and treatment are essential to a good outcome in these patients.


REFERENCES

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  2. Baradarian R, et al. Early intensive resuscitation of patients with upper gastrointestinal bleeding decreases mortality. Am J Gastroenterol. 2004 Apr;99(4):619-22.

  3. Barkun A, et al. High-dose intravenous proton pump inhibition following endoscopic therapy in the acute management of patients with bleeding peptic ulcers in the USA and Canada: a cost-effectiveness analysis. Ailment Pharmacol Ther. 2004 Mar 1;19(5):591-600.

  4. Cooper G, et al. Early endoscopy in upper gastrointestinal hemorrhage: associations with recurrent bleeding, surgery, and length of hospital stay. Gastrointest Endosc. 1999 Feb;49(2):145-52

  5. D`Arnico G, et al. Emergency sclerotherapy versus vasoactive drugs for variceal bleeding in cirrhosis: a Cochrane meta-analysis. Gastroenterology. 2003;124.1277-91

  6. D ́Arnico G, de Francis R, a Cooperative Study Group. Upper digestive bleeding in cirrhosis. Post-therapeutic outcome and prognostic indicators. Hepatology. 2003; 38:599-612

  7. De Francis R. Updaring consensus in portal hypertension: report of the Baveno III Consen-sus Workshop on methodology and therapeutic strategies in portal hypertension. J Hepatol. 2003; 38: 554-68

  8. Joan Genesca. Hemorragia digestiva variceal. GH Continuada, 2005; 4:105

  9. Kahi C, Francois F, et al. Improved patient survival after acute variceal bleeding: a multicenter, cohort study. Am J Gastroenrol. 2003; 98:653-9

  10. Lau J, et al. Endoscopic retreatment compared with surgery in patients with recurrent bleeding after initial endoscopic control of bleeding ulcers. N Engl J Med. 1999 Mar 11; 340(10):751-6.

  11. Longstreth G, et al. Successful outpatient management of acute upper gastrointestinal hemorrhage: use of practice guidelines in a large patient series. Gastrointest Endosc. 1998 Mar;47(3):219-22.

  12. Marx et al. Rosen’s Medicina de Emergencias: Concepts and Clinical Practice, 5 edición editorial Mosby, 2002.

  13. Primrose, J. Blind total gastrectomy for massive bleeding from the stomach. Br J Surg. 1986 Nov;73(11):920-2

  14. Sabed Za, et al. Endoscopic retreatment after successful initial hemostasis prevents ulcer rebleeding: a prospective randomized trial. Endoscopy. 1996, Mar;28(3):288-94.




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Rev Med Cos Cen. 2008;65