Abstract

ALMEIDA VARELA, Ricardo; PEREZ SUAREZ, Frank; DIAZ ELIAS, Javier Orlando  and  MARTINEZ HERNANDEZ, Juan Alberto. Behavior of high digestive hemorrhage in the "Calixto García" Hospital. Rev Cubana Cir [online]. 2011, vol.50, n.1, pp. 40-53. ISSN 0034-7493.

INTRODUCTION. Most of admissions in emergency rooms are due to high digestive hemorrhages, but frequently there are not available data on the behavior of this type of hemorrhage in our country. The objective of present research was to describe the demographic data, etiologies and behaviors followed in patients with this diagnosis and also of the deaths provoked by this cause. METHODS. A retrospective study was conducted including patients diagnosed with high digestive hemorrhage admitted in surgery service of the "Calixto García" University Hospital between 2006 and 2007. RESULTS. Due to this cause 551 patients were admitted prevailing old men with chronic diseases. The 92% undergoes oral panendoscopy. The more frequent causes of recent hemorrhage were the worsened gastroduodenitis and those of the active hemorrhage at moment of endoscopy were the duodenal ulcers. Medical treatment was prescribed in the 89% of cases and the surgical one in the 11%. The 6,8% of patients deceased and the leading causes were the gastroduodenal ulcers, the gastroesophageal varices and the erosive gastroduodenopaties. CONCLUSIONS. The high digestive hemorrhage has an important place among the causes of admission in the "Calixto García" University Hospital of La Habana.

Keywords : High digestive hemorrhage; oral panendoscopy; endoscopy; deceased.

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