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: Faulkree Mazumi
Country: South Sudan
Language: English (Spanish)
Genre: Automotive
Published (Last): 13 December 2008
Pages: 334
PDF File Size: 6.70 Mb
ePub File Size: 11.40 Mb
ISBN: 670-2-78430-972-4
Downloads: 40490
Price: Free* [*Free Regsitration Required]
Uploader: Kajishakar

We studied some demographic variables, history, clinical presentation, treatment and mortality. The literature has reported numerous prognostic factors associated with death due to gaatrica gastrointestinal bleeding UGIB. J Gastroenterol Hepatol ; The average age was However, some question whether the incidence of ulcers is decreasing, or perhaps less published 7,8. The general characteristics of the studied group, including age, gender, history of previous forrezt, clinical presentation and comorbidities, were similar to literature reports Application of endoscopic hemoclips for nonvariceal bleeding in the upper gastrointestinal tract.

This may reflect the widespread and protocol-based use of infusions of proton gastriac inhibitors beginning when the patient is admitted. Those patients were injected with adrenaline alone. Discussion The general characteristics of the studied group, including age, gender, history of previous bleeding, clinical presentation and comorbidities, were similar to literature reports In-hospital mortality in non-variceal upper gastrointestinal bleeding Forrest 1 Patients.

World J Gastroenterol 7; Scand J Gastroenterol 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. This was performed using the chi-square statistic and the Mann Whitney U test. Am J Clasificaclon Syst Pharm ; Appropriate use of intravenous proton pump inhibitors in the management of bleeding peptic ulcer.


Forrest classification

Sierra Sierra 2A. Introduction Upper gastrointestinal bleeding is a common medical emergency and a frequent cause of morbidity and mortality. Cochrane Database Syst Rev ; 3: The arteriography of the third patient did not show any bleeding or vascular malformation, and the recovery was successful without further treatment. Current protocols suggest that an early risk stratification of patients according clasificaciin clinical and endoscopic criteria, and the practice of early endoscopy before 24 hoursallow for a prompt and reliable release of those patients with a low risk and improve the prognosis of high-risk patients.

Patient who presented with bleeding due to other causes during hospitalization has a higher mortality risk than those whose complaints were related to gastrointestinal bleeding RR 2.

ULCERA PEPTICA by Edison Vera Navarrete on Prezi

Am J Gastroenterol ; Inhibidores de la bomba de protones. Rev Esp Enferm Dig ; We also conducted a bivariate analysis to explore the associations between some independent variables and the main clasicicacion mortality. For the lower values, the Rockall score offers a good predictive capacity in this group. Identifying patients with a higher risk would help improve the management of patients with UGIB.

Incidence of and mortality from acute upper Gastrointestinal haemorrhage in the United Kingdom.

We explored the association betwen those variables and death. The patients who presented with bleeding while hospitalized for another reason remained hospitalized for Ann Intern Med ; The use of proton pump inhibitors PPIs and the eradication of the Helicobacter pylori has decreased in recent decades, as has the percentage of patients who present with a reoccurrence of bleeding; however, the mortality rate has remained stable despite these and other developments, such as endoscopic treatment 9,10probably due to the increase in the average age of patients and the frequent and continuous use of nonstero idal anti-inflammatory drugs NSAIDs 11, In one patient, we observed a bleeding of the gastroduodenal artery, which we controlled with embolization.


We performed band ligation in 15 3. Dig Dis Sci ; Intravenous proton-pump for acute peptic ulcer bleeding – is profound acid supression beneficial to reduce the risk of rebleeding?

The Dieulafoy’s lesion was not identified in the endoscopy and required surgical treatment. The most frequent reason for consultation was hematemesis The frequency of peptic ulcer as a cause of upper-GI bleeding is exaggerated. Esrailian E, Gralnek IM.

Gastroint Endosc ; Clot lysis by gastric juice: No differences were found between groups in terms of gender, age, smoking habits, use of NSAIDs, presence of hemodynamic instability or stigmata in ulcer crater Forrest Ia: Erosive disease was responsible for A Prospective Cohort Study. The reoccurrence of bleeding was also an indication for surgery.

The number of patients older than 60 years corresponded to half of the group; this percentage has increased according to recent studies 13, Rev Gastroenterol Disord ; 2: Clinical and endoscopic analysis of gastric Dieulafoy’s lesion. Influencing the practice and outcome in acute upper gastrointestinal haemorrhage. Use of acid suppression clasificacoon for treatment of non-variceal upper gastrointestinal bleeding.