Abstract

CASAMAYOR CALLEJAS, Ernesto; RODRIGUEZ FERNANDEZ, Zenén  and  GODERICH LALAN, José M. Upper digestive bleeding: current considerations about its diagnosis and treatment. MEDISAN [online]. 2010, vol.14, n.5. ISSN 1029-3019.

Introduction: The upper digestive bleeding is a frequent medical surgical emergency that is usually diagnosed by means of oral endoscopy and the esophagus, stomach and duodenum x-ray. Objective: To describe the diagnostic and therapeutic results in the patients admitted by that cause in the General Surgery Service of "Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital in Santiago de Cuba during the biennium 2007-2008. Methods: A descriptive, cross-sectional and retrospective study of 88 patients hospitalized with that affection was carried out, taking into account selected variables. Results: The oral endoscopy was made to 56,8% of patients of the series and revealed that both duodenal ulcer and acute and chronic gastritis were the predominant gastropathies according to classification of Forrest III. In the esophagus, stomach and duodenum x-ray thickened folds were the most commonly observed. Except for 6 patients (6,8%) who died, the rest of them improved with the treatment during a short stay. Conclusions: In spite of the effectiveness of the endoscopic test, it cannot still be made to all the people with upper digestive bleeding.

Keywords : upper digestive bleeding; peptic ulcer; gastritis; esophageal varices; endoscopy; surgical treatment; secondary health care.

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