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Caracterización de los pacientes con hemorragia de vías digestivas altas no varicosa atendidos en el Hospital Universitario de la Samaritana, Cundinamarca

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dc.contributor.advisorMartínez Marín, Julián David
dc.creatorRivera Henríquez, Daysi Beatriz
dc.creator.degreeEspecialista en Gastroenterología
dc.date.accessioned2013-06-12T20:29:02Z
dc.date.available2013-06-12T20:29:02Z
dc.date.created2013-05-21
dc.date.issued2013
dc.descriptionLa hemorragia de vías digestivas altas (HVDA) es una emergencia frecuente. La etiología más común es la úlcera péptica. La restauración del volumen intravascular y la presión arterial son la prioridad del manejo. La endoscopia (EGD) debe realizarse luego de la reanimación inicial y lograda la estabilización hemodinámica, tratar la lesión subyacente mediante hemostasia. Se realiza un estudio en un hospital de referencia de tercer nivel, Cundinamarca, Colombia Materiales y métodos: Estudio descriptivo retrospectivo, datos obtenidos de la historia clínica electrónica de pacientes adultos que consultaron por urgencias en el Hospital Universitario de la Samaritana (HUS) por HVDA, diagnosticada por hematemesis, melenas, hematoquezia y/o anemia; a quienes se les realizó EGD durante abril del 2010 - abril del 2011. Resultados: Se atendieron 385 pacientes en el período de estudio, 100 fueron excluidos debido a hemorragia secundaria a várices esofágicas, historia incompleta y hemorragia digestiva baja, para un total de 285 pacientes analizados. El 69.1% eran mayores de 60 años. El 73.3% presentaba hipertensión arterial, el 55.1% reportaba ingesta de Anti-inflamatorios no esteroideos (AINES) y Aspirina (ASA). El 19.6% reportaba episodios de sangrado previos y 17.9% presentó inestabilidad hemodinámica. Sesenta y tres pacientes (22,1%) requirieron hemostasia endoscópica, treinta y dos (11.2%) presentaron resangrado. La mortalidad reportada fue del 13.1%, del cual 55.3% correspondía a hombres. Discusión: La mayoría de la población atendida en el HUS por HVDA son adultos mayores de 60 años. La úlcera péptica, continúa siendo el diagnóstico más frecuente asociado al uso de AINES y ASA.spa
dc.description.abstractUpper GI bleeding is one of the most common emergencies in the emergency department. The most common etiology is peptic ulcer disease. Restoring intravascular volume and stabilization of blood pressure are the priorities in its management. Endoscopy should be performed after initial resuscitation and hemodynamic stabilization is achieved, and treat the underlying lesion with various techniques for hemostasis. We present a study conducted in a third level referral hospital, in Cundinamarca, ColombiaMaterials and methods: We retrospectively reviewed electronic medical records of all adults patients who presented to the emergency department of Hospital Universitario de la Samaritana (HUS) with upper gastrointestinal bleeding symptoms such as hematemesis, melena, hematochezia and/or anemia; all of whom underwent esophagogastroduodenoscopy between April 2010 -2011. Results: 385 patients were evaluated during the study period, 100 of them were excluded for variceal bleeding, incomplete medical history or lower intestinal bleeding; a total of 285 patients were included. 69. 1% were older than 60 years, 73. 3% had a history of arterial hypertension, 55. 1% chronically used NSAID´s or ASA. 19. 6% had previously experienced at least one episode of intestinal bleeding and 17. 9% of all patients presented hemodynamic instability. Sixty three patients required endoscopic hemostasis and 32 of them showed bleeding recurrence. The mortality for this group was 13. 1% and 55. 3% were men. Discussion. The majority of patients treated at our institution for gastrointestinal bleeding are older than 60 years. Peptic ulcer disease remains the most frequent cause and is strongly associated to NSAID´s or ASA use eng
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dc.identifier.doihttps://doi.org/10.48713/10336_4437
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/4437
dc.language.isospa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de Medicinaspa
dc.publisher.programEspecialización en Gastroenterologíaspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto completo)spa
dc.rights.ccAtribución-NoComercial-SinDerivadas 2.5 Colombiaspa
dc.rights.licenciaEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusivaspa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
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dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectHemorragia de vías digestivas altasspa
dc.subjectesofagogastroduodenoscopiaspa
dc.subjecthemostasiaspa
dc.subjectmortalidadspa
dc.subject.decsENDOSCOPÍA DEL SISTEMA DIGESTIVOspa
dc.subject.decsGASTROENTEROLOGÍA - INVESTIGACIONESspa
dc.subject.decsHEMORRAGIA GASTROINTESTINALspa
dc.subject.decsHEMOSTASIAspa
dc.subject.keywordUpper gastrointestinal bleedingeng
dc.subject.keywordesophagogastroduodenoscopyeng
dc.subject.keywordhemostasiseng
dc.subject.keywordmortalityeng
dc.titleCaracterización de los pacientes con hemorragia de vías digestivas altas no varicosa atendidos en el Hospital Universitario de la Samaritana, Cundinamarcaspa
dc.typemasterThesiseng
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
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