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Colegio de Medicos y Cirujanos República de Costa Rica
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2016, Number 620

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Rev Med Cos Cen 2016; 73 (620)

Hemorragia digestiva alta no varicosa revisión bibliográfica

Pérez CMM
Full text How to cite this article

Language: Spanish
References: 12
Page: 479-483
PDF size: 195.72 Kb.


Key words:

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ABSTRACT

Upper gastrointestinal bleeding is one of the most common gastrointestinal emergencies. The use of scales of risk stratification, such as Glasgow Blatchford or Rockall are recommended in all patients to define the need for endoscopic intervention, or high risk of mortality. The pillars diagnoses include: assessment hemodynamic status; Confirmation of bleeding, its origin and its high activity, assessing prognosis and identification of the cause. All this requires an adequate medical history and examination, elemental analysis and endoscopy should be performed within the first 24 hours in order to stratify the risk of rebleeding and perform endoscopic treatment in patients at high risk


REFERENCES

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  2. Casamayor Callejas, Ernesto. Rodriguez Fernandez, Zenén. Goderich Lalan Jose M. ¨Sangrado Digestivo Alto: Consideraciones Actules a cerca de su Diagnóstico y Tratamiento¨. Chile. MEDISAN (online). 2010, v 14, n5. Disponible en http://scielo.sld.cu/scielo. php?script=sci_arttext&pid=S1029- 30192010000500002&lng=es&nrm =iso

  3. De la Mora Levy, Guillermo. ¨Manejo de la hermorragia del Tubo Digestivo Alto¨. Revista de Gastroenterología de México. “México. V 80. ¨N.4 Pp 28-34. 2010

  4. Fortinsky, Kyle. Bardou, Marc. Barkun, Alan N. Role of Medical Therapy for Nonvariceal Upper Gastrointestinal Bleeding¨. Gastrointest Endoscopy Clin N Am. Canada. V 25. Pp 463–478. 2015.

  5. Holcomb JB, del Junco DJ, Fox EE, et al. The Prospective, Observational, Multicenter, Major Trauma Transfusión (PROMMTT) study: comparative effectiveness of a time-varying treatment with competing risks. JAMA Surg 2013; 148(2):127–36.

  6. Laine L. Hemorragia digestiva aguda y crónica. En: Sleisenger and Fordtran, dir.

  7. Enfermedades Gastrointestinales y Hepáticas: fisiopatología, diagnóstico y tratamiento, 6ªed, vol II. Buenos Aires: Editorial Médica Panamericana, SA; 2000. 215-238.

  8. Laine, Loren. Jesen Dennis. ¨Management of Patiens With Ulcer Bleeding¨. The American Journal of gastroenterology. USA. V 107. Pp 345 – 360. 2012

  9. Meltzer, Andrew. Klein, Josua. Upper Gastrointestinal Bleeding, Patient Presentation, Risk Stratificatión, and Early Management¨. Gastroenterol Clin N Am. USA. v 43. Pp 665-675. 2014

  10. Morris, John. Acute Upper Gastrointestinal Haemorrhage¨. Gastrointestina Emergencies. Elsevier. Pp161-166. 2014.

  11. Rotondano, Gianluca. ¨ Epidemiology and Diagnosis of Acute Nonvariceal Upper Gastrointestinal Bleeding¨. Gastroenterol Clin N Am. Elsevier. Italy. v 43. Pp 643–663. 2014

  12. Syed Irfan-Ur, Rahman. Saeian, Kia. Nonvariceal Upper Gastrointestinal Bleeding.¨ Crit Care Clin . USA. V 43. Pp 1-17.2015.




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Rev Med Cos Cen. 2016;73