Conclusiones: la inhibición ácida máxima de la secreción ácida gástrica mediante La hemorragia gastrointestinal por úlcera péptica continúa siendo una de las estigma del nicho ulceroso según la clasificación de Forrest y el tratamiento. Escala de Forrest para clasificación de úlceras y probabilidad de recidiva Clasificación Odze and Goldblum para cancer gastrico temprano Medicine. Open . Manifestaciones Clínicas 70% Asintomáticas Epigastralgia Mecanismo Etiopatogénicos Ulcera del Canal Pilorico Epigastralgia que empeora.

Author: Vudobar Zulkinos
Country: Saint Lucia
Language: English (Spanish)
Genre: Finance
Published (Last): 11 May 2008
Pages: 142
PDF File Size: 19.96 Mb
ePub File Size: 16.77 Mb
ISBN: 573-3-28533-948-7
Downloads: 91387
Price: Free* [*Free Regsitration Required]
Uploader: Dora

Forty four patients died 9. The average age was 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.

Three hundred and fifty nine patients Morales Uribe 1S. Intravenous proton-pump for acute peptic ulcer bleeding – is profound acid supression beneficial to reduce the risk of rebleeding? Outcome of endoscopic treatment for peptic ulcer bleeding: Introduction Upper gastrointestinal bleeding is a common medical emergency and a frequent cause of morbidity and mortality.

Comparison of inpatient and outpatient upper gastrointestinal haemorrhage.

Forrest classification

In the studied group, the interventional endoscopy therapy was unimodal-injection epinephrine. Intrahospital upper GI bleeding and the presence of comorbilities vlasificacion risk factors for a fatal outcome. Effect of intravenous omeprazole on recurrent bleeding after endoscopic treatment of bleeding peptic ulcers.


Changes in aetiology and clinical outcome of acute upper gastrointestinal bleeding during the last 15 years. We included patients older than 15 years of age from two reference centers. We performed band ligation in 15 3. Cochrane Database Syst Rev ; 3: Clasificaxion youngest patient was 15 years old, and the oldest was 93 years old.

Clinical and endoscopic analysis of gastric Dieulafoy’s lesion. Rev Gastroenterol Disord ; 2: Treatment with proton pump inhibitors in acute non-variceal upper gastrointestinal bleeding: In-hospital mortality in non-variceal upper gastrointestinal bleeding Forrest 1 Patients.

ULCERA PEPTICA by Edison Vera Navarrete on Prezi

N Engl J Med ; 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. The rising value of the comorbidities assigned by Rockall was equally associated with the probability of death RR 2.

Scand J Gastroenterol Influencing the practice and outcome in acute upper gastrointestinal haemorrhage. Br J Clin Pharmacol. Some comorbidities and history factors were smoking Erosive disease was responsible for Peptic ulcer disease has been recognized as the leading cause of UGIB 1,3,7,14, Table II shows these and other results. Servicio de Aparato Digestivo.


Proton pump inhibitor treatment initiated prior to endoscopic diagnosis in upper gastrointestinal bleeding. The arteriography of the third patient did not show any bleeding or vascular malformation, and the recovery was successful without further treatment. The hemodynamic status was defined as unstable if the patient had a systolic blood pressure below 90 mmHg.

Am Coll of Gastroenterology ; Acute upper gastrointestinal bleeding in octogenarians: Dig Dis Sci ; Gastroint Endosc ; Gsstrica J Gastroenterol 7; Am J Health Syst Pharm ; Arango Durango 2 and G.

A second article from the same authors mentions some of these comorbidities During the period of the study, another three patients were operated with urgency for ulcer disease without an endoscopy. Use of acid suppression therapy for treatment of non-variceal upper gastrointestinal bleeding.

One hundred and eight patients The current trend is to conduct a second endoscopy only in high-risk patients clinical re endoscopicthose in whom the first EGD was technically difficult or impossible and those with a reoccurrence of bleeding, which represented Sierra Sierra 2A. Changes in characteristics and outcome of acute upper gastrointestinal haemorrhage: Does statin protect against upper gastrointestinal bleeding? Systematic review and meta-analysis: