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.
|Published (Last):||12 March 2006|
|PDF File Size:||18.51 Mb|
|ePub File Size:||11.53 Mb|
|Price:||Free* [*Free Regsitration Required]|
The average age was The Dieulafoy’s lesion was not identified in the endoscopy and required surgical treatment.
ULCERA PEPTICA by juana crespo on Prezi
Proton pump inhibitor treatment for acute peptic ulcer bleeding. One hundred and eight patients Gastrointest Endosc ; Erosive disease was responsible for Evolution in the epidemiology of non-variceal upper digestive hemorrhage from to Sierra Sierra 2A.
Am Coll of Gastroenterology ; fordest 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 Inhibidores de la bomba de protones. Servicio de Aparato Digestivo.
Arango Durango 2 and G. Identifying patients with a higher risk would help improve the management of pe;tica with UGIB. Management of Acute Bleeding from a Peptic Ulcer.
Forrest classification – Wikipedia
The hemodynamic status was defined as unstable if the patient had a systolic blood pressure below 90 mmHg. We performed band ligation in 15 3. The youngest patient was 15 years old, and the oldest was 93 years old. Although the pharmacological approach clasifiaccion the cornerstone of treatment, interventional endoscopy is an excellent complement in patients who ulcsra to have active bleeding, and a few cases require interventional radiology or even surgery.
An increasing number of comorbidities such as those described in the Rockall Score, were also associated with a higher risk of mortality RR 2.
In group 0, 2 patients J Gastroenterol Hepatol ; In the studied group, the interventional endoscopy therapy was unimodal-injection epinephrine.
The patients who presented with bleeding while hospitalized for another reason remained hospitalized for Int Colorectal Dis The arteriography of the third patient did not show any bleeding or vascular malformation, and the recovery was successful without forfest treatment.
Cochrane Database Syst Rev ; 4: The use of a nasogastric tube referred to its use at admission to confirm the presence of an upper acute bleeding or as part of UGIB management. 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. Arch Intern Med ; Proton pump inhibitor treatment initiated prior to endoscopic diagnosis in upper gastrointestinal bleeding.
We were not able to control the bleeding of the patient with a duodenal ulcer in the first procedure, and immediate surgery was indicated.
To gather information, we used a form that included the variables of age, gender, period between admission and the conduction of endoscopy, hemodynamic status at admission, history of gastrointestinal bleeding, cllasificacion presentation, comorbidities, use of a nasogastric tube, endoscopic diagnosis, duration of hospitalization, treatment and mortality.
Intravenous proton pump inhibitor therapy: 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.
Table II shows these and other results.