Abstract

RODILES MARTINEZ, Félix  and  LOPEZ MAYEDO, Francisco Javier. Upper digestive hemorrhage: Clinical and epidemiological behavior. AMC [online]. 2004, vol.8, n.6, pp.47-59. ISSN 1025-0255.

A descriptive observational study in 144 patients with diagnosis of upper digestive hemorrhage, admitted in the service of General Surgery at the Military Hospital Dr. Octavio de la Concepción y de la Pedraja of Camagüey, from January 1999 to December 2004, was carried out with the aim of evaluating the behaviour of group of variables related to upper digestive hemorrhage , we used for it descriptive statistics, data were completed with a formulary which was processed by automated methods through the statistic program SPSS. Bleeding was more frequent in 60 years old patients or over, prevailing the masculine sex. Diseases associated were cardiovascular and duodenal ulcer. Coffee intake as toxic habit and the ingestion of salicylates as ulcerogenic drugs prevailed. The presentation from that prevailed was melena. The higher number of admissions occurred in the winter season and patients attended with higher frequency to the hospital on weekends in the afternoons. In the 64, 5 % the etiologic diagnosis was possible by endoscopy, gastroduodenal peptic ulcer was the cause that prevailed, followed in frequency order by acute lesions of the gastroduodenal mucosa. The medical treatment was the most used and the surgical technique more used was the literature of the bleeding vessel and pyloroplastia. Mortality was 5, 5 % hypovolemia and hepatic failure were the main causes of death.

Keywords : GASTROINTESTINAL HEMORRHAGE [epidemiology].

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