Mujas The efficacy of this treatment is suboptimal and must be used in combination with ulcer methods Influencing the practice and outcome in acute upper gastrointestinal haemorrhage. Current protocols suggest that an early risk stratification of patients according to clinical and endoscopic criteria, and the practice of early endoscopy before 24 hoursallow for a prompt fodrest reliable release of those patients with a low risk and improve the prognosis of high-risk clasiricacion. In the studied group, the interventional endoscopy therapy was unimodal-injection epinephrine. There was a significant difference between the observed deaths and the probability of death in patients with a pre-endoscopic Rockall score greater than or equal to four and with a post-endoscopic score greater than or equal to six. Br J Clin Pharmacol. Peptic ulcer disease has been recognized as the leading cause of UGIB 1,3,7,14, Comparison of inpatient and outpatient upper gastrointestinal haemorrhage.
|Published (Last):||26 April 2012|
|PDF File Size:||6.31 Mb|
|ePub File Size:||16.6 Mb|
|Price:||Free* [*Free Regsitration Required]|
Peptic ulcers have been recognized as the leading cause of UGIB 2,5,6although recent studies have shown a decrease in the percentage 7,8. Acute upper gastrointestinal haemorrhage.
Hospital bleeding referred to the upper gastrointestinal bleeding that occurred in patients who were hospitalized for causes other than GI bleeding and who presented with bleeding during hospitalization.
Discussion The general characteristics of the studied group, including age, gender, history of previous bleeding, clinical presentation and comorbidities, were similar to literature reports N Engl J Med ; In group 0, 2 patients Application of endoscopic hemoclips for nonvariceal bleeding in the upper gastrointestinal tract. This is probably due to the small number of patients with these values.
Se exploraron las asociaciones de estas variables con el desenlace muerte. Nonvariceal Upper Gastrointestinal Bleeding: Some comorbidities and history factors were smoking Peptic ulcer disease has been recognized as the leading cause of UGIB 1,3,7,14, There was a significant difference between the observed deaths and the probability of death in patients with a pre-endoscopic Rockall score greater than or equal to four and with a post-endoscopic score greater than or equal to six.
This was performed using the chi-square statistic and the Mann Whitney U test. Rev Gastroenterol Disord ; 2: During the period of the study, another three patients were operated with urgency xe ulcer disease without an endoscopy.
We explored the association betwen those variables and death. No differences were found between groups in terms of gender, age, smoking habits, use of NSAIDs, presence of hemodynamic instability or stigmata in ulcer crater Forrest Ia: Table V shows the exploratory bivariate analysis of some variables that could be related to the probability of death.
Forrest classification — Wikipedia World J Gastroenterol 7; Rev Esp Enferm Dig ; Appropriate use of intravenous proton pump inhibitors in the management of bleeding peptic ulcer. Ofrrest enfermos eran asignados desde el momento de ingreso en la unidad a dos grupos de manera randomizada: Acute Upper GI Bleeding: In the exploration of risk in this group, we found two variables associated with death: The rising value of the comorbidities assigned by Rockall was equally associated with the probability of death RR 2.
Table II shows these and other results. Upper gastrointestinal bleeding is a common medical emergency and a frequent cause of morbidity and mortality. Management of Acute Bleeding from a Peptic Ulcer. World J Gastroenterol r 14; This may reflect the widespread and protocol-based use of infusions of proton pump inhibitors beginning when the patient is admitted.
The general characteristics of the studied group, including age, gender, history of previous bleeding, clinical presentation and comorbidities, were similar to literature reports Treatment with proton pump inhibitors in acute non-variceal upper gastrointestinal bleeding: Int Colorectal Dis Clot lysis by gastric juice: The number of patients older than 60 years corresponded to half of the group; this percentage has increased according to recent studies 13, One hundred and eight patients The efficacy of this treatment is suboptimal and must be used in combination with other methods Scand J Gastroenterol In one patient, we observed a bleeding of the gastroduodenal artery, which we controlled with embolization.
Asociación Mexicana de Endoscopia Gastrointestinal
A total of An increasing number of comorbidities such as those described in the Rockall Score, were also associated with a higher risk of mortality RR 2. From this group, eight patients Epidemiology and course of acute upper gastro-intestinal haemorrhage in four French geographical areas. Loffroy R, Guiu B Role of transcatheter arterial embolization for massive bleeding from gastroduodenal ulcers. Intravenous proton gastriica inhibitor therapy: Int Colorectal Dis Patients who bleed during hospitalization for a different cause had a higher risk of dying than those patients who were seen for UGIB RR 2. This may reflect the widespread and protocol-based use of infusions of proton pump inhibitors beginning when the patient is admitted.
Hemorragia digestiva alta: rol de la endoscopía