Endoscopía: presencia de úlcera péptica, tamaño de la úlcera superior a 2 Clasificación de Forrest: Estigmas endoscópicos de sangrado reciente y. Manifestaciones Clínicas 70% Asintomáticas Epigastralgia Mecanismo Etiopatogénicos Ulcera del Canal Pilorico Epigastralgia que empeora. La ulcera péptica consiste en una pérdida de sustancia de 5mm o más, en la pared gástrica o duodenal, que se extiende en profundidad mas.

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Dig Dis Sci ; Use of acid suppression therapy for treatment of non-variceal upper gastrointestinal bleeding.

ULCERA PEPTICA by juana crespo on Prezi

Epidemiology and course of acute upper gastro-intestinal haemorrhage in four French geographical areas. Identifying patients with a higher risk would help improve the management of patients with UGIB. Am J Health Syst Pharm ; We conducted a univariate analysis to explore the behavior of the variables, the quality of the data and the presence of external values. During the period of ulceraa study, another three patients were operated with urgency for ulcer disease without an endoscopy.

In-hospital mortality in non-variceal upper gastrointestinal bleeding Forrest 1 Patients. The arteriography of the third patient did not show any bleeding or vascular malformation, and the recovery was successful without further treatment.


ULCERA PEPTICA by Edison Vera Navarrete on Prezi

Am J Gastroenterol ; Los enfermos eran asignados desde el momento de ingreso en la unidad a dos grupos de manera randomizada: We included patients older than 15 years of age from two reference centers. This analysis used descriptive statistics, such as means, proportions, standard deviations and ranges.

Acute Upper GI Bleeding: Acute upper gastrointestinal haemorrhage. The general characteristics of the studied group, including age, gender, history of previous bleeding, clinical presentation and comorbidities, were similar to literature reports Clot lysis by gastric juice: This figure includes patients who underwent endoscopy for suspected reoccurrence of bleeding who were at risk for a reoccurrence of bleeding during the first endoscopy and cases that did not have a satisfactory first evaluation.

Although the pharmacological approach is the cornerstone of treatment, interventional endoscopy is an excellent complement in patients who continue to have active bleeding, and a few cases require interventional radiology or even surgery. Cochrane Database Syst Rev ; 4: Effect of intravenous omeprazole on recurrent bleeding after endoscopic treatment of bleeding peptic ulcers.

Loffroy R, Guiu B Role of transcatheter arterial embolization for massive bleeding from gastroduodenal ulcers. A total of We explored the association betwen those variables and death.


The current trend is to conduct a second endoscopy only in high-risk patients clinical or endoscopicthose in whom the first EGD was technically difficult or impossible and those with a reoccurrence of bleeding, which represented Se exploraron las asociaciones de estas variables con el desenlace muerte. Risk factors for mortality in severe upper gastrointestinal bleeding.

The mortality according to the value and its comparison with the probability of death according to the Rockall scale are also shown in Tables III and IV. Am J Gastroenterol ; Intragastric ph with oral vs. Arch Intern Med ; Facultad de Medicina Universidad de Antioquia.

Int Colorectal Dis Three hundred and fifty nine patients The reoccurrence of bleeding was also an indication for surgery. The hemodynamic status was defined as unstable if the patient had a systolic blood pressure below 90 mmHg.