medigraphic.com
SPANISH

Correo Científico Médico de Holguín

ISSN 1560-4381 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2019, Number 3

<< Back Next >>

Correo Científico Médico 2019; 23 (3)

High digestive hemorrage patients characterization

Robles OY, Rodríguez PY, Solarana OJA, Pérez PA, Benítez GY
Full text How to cite this article

Language: Portugu?s
References: 10
Page:
PDF size: 392.57 Kb.


Key words:

haemorrhages, mane, transfixion, vagectomy, piloroplastic.

ABSTRACT

Introduction: the high digestive haemorrhage (HDA) is the haematic loss or hematemesis, which occurs between the high oesophageal sphincter and the Treitz angle placed in a neighbouring organ.
Objective: to characterize high digestive haemorrhage patients.
Results: most of patients were diagnosed with high digestive haemorrhage; registered in the group from 62 to 72 years old. Alcoholism prevailed as personal antecedent in males. The majority of cases belonged to homodynamic category stable and the main form of presentation of the haemorrhage digestive discharge was the duodenal ulcer mane; with urgency endoscopy as the fundamental diagnosis procedure, carried out by conduction and patients' pursuit, within 7 to 24 hours. Transfixion was the most effective medical technique in almost the entirely group. The highest surgical interventions number occurred between 7 to 34 hours. Most applied surgical techniques were transfixion of the bleeding glass by Piloroplastic and Vaguectomy.
Conclusions: the rebleeding turned out to be the main complication registered in deceased patients. Hospital demurrage last from 3 to 5 days with almost absolute prevalence, satisfactory evolution and life expenditure with low lethality rate.


REFERENCES

  1. Pino RH , Montealegre Losada A, Sanabria García D, Cortes Serrato A. Hemorragia de vías digestivas altas de urgencia en el HUN: correlación clínico-endoscópica. RFS Rev Facu Salud. 2015[citado 2 oct 2018];2(2):55-60. Disponible en: https://journalusco.edu.co/index.php/rfs/article/view/55

  2. Astocóndor Villar RE. Características clínicas y endoscópicas de la Hemorragia digestiva alta en el hospital nacional Arzobispo loayza durante el 2017. [Tesis]. Lima, Peru: Universidad Nacional Federico Villarreal; 2018.66p. Disponible en: http://repositorio.unfv.edu.pe/handle/UNFV/1686

  3. Oliver Solaz L, Jordán Alonso AD, Alfonso Moya O, Alejo Concepcción O, Cruz Méndez D. Comportamiento de la hemorragia digestiva alta en el quinquenio 2009 a 2013. Med Electrón. 2017 [citado 8 oct 2018]; 39(3): 432-442. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242017000300002&lng=es

  4. Karol Ramírez J, Menéndez Rivera BM, Cobiellas Rodríguez R. Hemorragia digestiva alta no varicosa: comportamiento e índice de Rockall. Rev Cubana Cir.2014 [citado 25 sep 2018]; 53(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932014000100003

  5. Kurien M, Lobo AJ. Acute upper gastrointestinal bleeding. Clin Med (Lond). 2015[citado 25 sep 2018];15(5):481-485. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4953237/

  6. Salah Elsayed IA, Kumar Battu P, Sarah Irving. Management of acute upper GI bleeding. BJA Education.2017[citado 25 sep 2018];17(4): 117–123. Disponible em: https://academic.oup.com/bjaed/article/17/4/117/2666343

  7. Siau K, Chapman W, Sharma N, Tripathi D, Iqbal T, BhalaJ N. Management of acute upper GI bleeding: an update.J R Coll Physicians Edinb. 2017[citado 25 sep 2018]; 47(3): 218–230. Disponible en: https://www.rcpe.ac.uk/sites/default/files/jrcpe_47_3_bhala.pdf

  8. Robertson M, Majumdar A, Boyapati R, Chung W, Worland T, Terbah R. Risk stratification in acute upper GI bleeding: comparison of the AIMS65 score with the Glasgow-Blatchford and Rockall scoring systems. Gastrointest Endosc.2016 [citado 25 sep 2018]; 83(6): 1151–1160. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0016510715030370

  9. Lanas A. Hemorragia gastrointestinal, antiinflamatorios no esteroideos, ácido acetilsalicílico y anticoagulantes. Gastroenterol Hepatol. 2014[citado 25 sep 2018]; 37 (Supl 3):62-70. Disponible en: https://www.elsevier.es/es-revista-gastroenterologia-hepatologia-14-pdf-S0210570514700846

  10. Moreira VF, Garrido E. Hemorragia digestiva alta no varicosa. Rev Española Enferm Dig. 2014 [citado 25 sep 2018];106(1): 63-73. Disponible en: http://dx.doi.org/10.4321/S1130-01082014000100012




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Correo Científico Médico. 2019;23