Behavior of high digestive bleeding at Ciro Redondo Garcia Hospital in 2020
Keywords:
Hemorrhage, Hematemesis, Patients, Digestive system, Digestive BleedingAbstract
Introduction: high digestive bleeding represents one of the most frequent causes of morbidity and mortality in the General Surgery Services. It constitutes a very frequent medical-surgical emergency.
Objective: to characterize clinically hospitalized patients with high digestive bleeding in the General Teaching Hospital Ciro Redondo García in Artemisa, in 2020.
Methods: an observational, descriptive, cross-sectional study was carried out in the General Teaching Hospital Ciro Redondo García in Artemisa, in 2020. The universe consisted of 71 patients with diagnosis of high digestive bleeding attended in the General Surgery Services. During the period of time indicated above. Descriptive statistics were used.
Results: patients over 60 years of age predominated, with males being the most affected with 47 cases for 66,2 %. Peptic ulcer was the most common pathological history with 54,9 %. The predisposing factor that occurred most frequently was coffee consumption with 52 patients. The majority of patients studied did not consume non-steroidal antinflammatory drugs. The most frequent form of presentation was mane with 81,7 %.
Conclusions: The results were similar to the international and national trends, the predominant sex was male and the age over 60 years old. Peptic ulcer was the most frequent pathological antecedent. Coffee consumption can cause the triggering of this pathology. Most of the studied patients did not consume non steroid antinflammatory. The most common form of clinical presentation was the mane.
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2. Gralnek Ian M, Stanley Adria J, Morris Jhon A , Camus Marine A, Lau James F, Lanas Angel G, et al. Endoscopic diagnosis and management of nonvariceal upper gastrointestinal hemorrhage (NVUGIH): European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2021. Endoscopy. [Internet] 2021 [cited 03/05/2023]; 53(3):300-332. Available in: https://pubmed.ncbi.nlm.nih.gov/33567467/
3. Sung Kim J, Wook Kim B, Hoon Kim D, Hyuk Park C, Kyung Joo M, Hyun Jung D, et al. Guidelines for Non-variceal Upper Gastrointestinal Bleeding. Korean J Gastroenterol. [Internet] 2020 [cited 03/05/2023]; 75(6):322-332. Available in: https://pubmed.ncbi.nlm.nih.gov/32581203/
4. Poddar U. Diagnostic and therapeutic approach to upper gastrointestinal bleeding. Pediatric Int Child Health. [Internet] 2019 [cited 03/05/2023]; 39(1):18-22. Available in: https://pubmed.ncbi.nlm.nih.gov/30058470/
5. Oakland K. Changing epidemiology and etiology of upper and lower gastrointestinal bleeding. Best Pract Res Clin Gastroenterol. [Internet] 2019 [cited 03/05/2023]; 42-43:101610. Available in: https://pubmed.ncbi.nlm.nih.gov/31785737/
6. Lau LHS, Sung Jung JY. Treatment of upper gastrointestinal bleeding in 2020: New techniques and outcomes. Dig Endosc. [Internet] 2021 [cited 03/05/2023]; 33(1):83-94. Available in: https://pubmed.ncbi.nlm.nih.gov/32216134/
7. Stanley AJ, Laine L. Management of acute upper gastrointestinal bleeding. BMJ. [Internet] 2019 [cited 03/05/2023]; 364:l536. Available in: https://pubmed.ncbi.nlm.nih.gov/30910853/
8. Lau JYW, Tang RSY, Raymond Tang SY , Heyson Chan CH , Hon-Chi Y , Shannon Chan M, et al. Timing of Endoscopy for Acute Upper Gastrointestinal Bleeding. N Engl J Med. [Internet] 2020 [cited 03/05/2023]; 382(14):1299-1308. Available in: https://pubmed.ncbi.nlm.nih.gov/32242355/
9. Gralnek IM, Camus Duboc M, Garcia-Pagan JC. Endoscopic diagnosis and management of esophagogastric variceal hemorrhage: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy. [Internet] 2022 [cited 03/05/2023]; 54(11):1094-1120. Available in: https://pubmed.ncbi.nlm.nih.gov/36174643/
10. Robles Ochoa Y, Rodríguez Pascual Y, Solarana Ortiz JA, Pérez Pupo A, Benítez González Y. Caracterización de pacientes atendidos por hemorragia digestiva alta. Corr. Cient. Méd. Holg. [Internet]. 2019 [cited 03/05/2023]; 23(3). Available in: http://www.revcocmed.sld.cu/index.php/cocmed/article/view/3069/1429
11. Pinto C, Parra P, Magna J, Gajardo A, Berger Z, Montenegro C, et al. Hemorragia digestiva alta variceal y no variceal: mortalidad intrahospitalaria y características clínicas en un hospital universitario (2015-2017). Rev.Méd. Chile [Internet]. 2020 [cited 03/05/2023]; 14(8): 288-294. Available in: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000300288
12. Cevallos Arias JR, Venegas Morales JL, Landívar Varas X. Prevalencia de hemorragia digestiva alta en pacientes ingresados por el área de emergencia del Hospital General IESS Milagro del 01 de enero del 2017 hasta el 31 de diciembre del 2018 [Tesis]. Guayaquil Ecuador: Universidad Católica de Santiago de Guayaquil; 2019 [cited 11/10/2021]. Available in: http://201.159.223.180/handle/3317/12958
13. Naddaf R, Folkmanas W, Requena T. Incidencia de hemorragia digestiva superior no variceal en el Hospital General del Oeste durante los años 2002-2006. Gen [Internet]. 2008 [cited 03/05/2023]; 62(2):114-115. Available in: http://ve.scielo.org/scielo.php?script=sci_arttext&pid=S0016-35032008000200008&lng=es
14. Ledesma Ledesma JA, Rivera Mera MJ, Álvarez Moyon LJ, Galarza Ávila KN. V.E.D.A terapéutica en hemorragia digestiva alta. RECIAMUC [Internet]. 2020 [cited 03/05/2023]; 4(1):105-113. Available in: https://reciamuc.com/index.php/RECIAMUC/article/view/445
15. Cárdenas Martínez CE, Cárdenas Dávalos JC, Vilcacundo Martínez ES, Troncoso Bombón SP. Sangrado digestivo alto: Una revisión bibliográfica. Pol Con. [Internet]. 2021 [cited 03/05/2023]; 6(1): 856-870. Available in: https://polodelconocimiento.com/ojs/index.php/es/article/download/2186/4376
16. Echeverría Flores AS, González Villegas W, Polanco Méndez D, Ramírez Garita J, Vargas Aguiar K. Sangrado digestivo alto: Una emergencia médica. Rev.Cienc. y Salud [Internet]. 2020 [cited 03/05/2023]; 4(4):144-152. Available in: http://revistacienciaysalud.ac.cr/ojs/index.php/cienciaysalud/article/view/191
17. Pozo González A, Corimayta Gutierrez Y, Jaime Carballo Y, Barbán Fernández L, Brizuela Pérez SM. Características Clínicas del sangramiento digestivo alto. AMC [Internet]. 2010 Jun [cited 03/05/2023]; 14(3). Available in: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552010000300008&lng=es
18. Contreras Omaña R, Alfaro Reynoso JA, Cruz Chávez CE, Velarde Ruiz Velasco A, Flores Ramírez DI, Romero Hernández I, et al. Sistema Progetto Nazionale Emorragia Digestiva (PNED) vs. escala de Rockall como predictores de mortalidad en pacientes con hemorragia de tubo digestivo alto no variceal: un estudio multicéntrico prospectivo. Revista de Gastroenterología de México. 2017 [cited 03/05/2023]; 82(2): 123-128. Available in: http://www.revistagastroenterologiamexico.org/es-sistema-progetto-nazionale-emorragia-digestiva-articulo-S037509061630091X
19. Solorzano Pachay DC. Factores de riesgo, diagnóstico y complicaciones de hemorragia digestiva alta no variceal en pacientes mayores a 40 años en el Hospital de Especialidades Dr. Abel Gilbert Ponton en el año 2015. [Tesis]. Ecuador: Universidad de Guayaquil; 2015. [cited 03/05/2023]. Available in: http://repositorio.ug.edu.ec/bitstream/redug/18942/1/TESIS%20DSP%20HDA.pdf
20. Feinman M, Haut ER. Upper Gastrointestinal Bleeding. Surg Clin North Am [Internet]. 2014 [cited 03/05/2023]; 94(1):43-53. Disponible en: Available in: https://pubmed.ncbi.nlm.nih.gov/24267496/
21. Salvatierra Laytén G, de la Cruz Romero L, Paulino Merino M, Vidal Vidal V, Rivera Dávila C, Cano Chuquilin A et al. Hemorragia digestiva alta no variceal asociada al uso de antiinflamatorios no esteroideos en Lima Metropolitana. Rev. gastroenterol. Perú [Internet]. 2006 [cited 03/05/2023]; 26(1):13-20. Available in: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1022-51292006000100002&lng=es
22. Patai A, Jakab Z, Varga F, Dracz L, Rokonozai E, Dobronte Z. Epidemioloy of non-variceal upper gastrointestinal hemorrhage in Vas Country in Western Hungary. Orv Hetil. 1998 [cited 08/05/2023]; 139(45):2705-12. Available in: https://pubmed.ncbi.nlm.nih.gov/9842244/
23. Nivelo Román FÁ, Paredes Polanco JP. Identificación de los tipos de riesgo en la hemorragia digestiva alta en el Hospital Abel Gilbert Pontón 2016. [Tesis]. Ecuador: Universidad Católica de Santiago de Guayaquil; 2017. [cited 04/05/2023]. Available in: http://repositorio.ucsg.edu.ec/bitstream/3317/8087/1/T-UCSG-PRE-MED-586.pdf
24. Jiménez Rojas LA. Sangrado digestivo alto. Rev.méd.sinerg. [Internet]. 3 de julio de 2017 [cited 08/05/2023]; 2(7):6-9. Available in: https://revistamedicasinergia.com/index.php/rms/article/view/82
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