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MEDISAN

On-line version ISSN 1029-3019

Abstract

RIVERON QUEVEDO, Kelly; GONZALEZ ULLOA, Lianne; DEBORAH LLORCA, Armando  and  DINZA CABREJAS, Sixto Alain. Emergency endoscopy in patients with acute episode of high digestive bleeding. MEDISAN [online]. 2012, vol.16, n.11, pp.1656-1665. ISSN 1029-3019.

A descriptive and cross-sectional study was carried out to characterize 48 patients with high digestive bleeding, confirmed through an oral emergency endoscopy in the General Teaching Hospital «Dr. Juan Bruno Zayas Alfonso» in Santiago de Cuba, from January to August of 2012. Male sex (66.7%), the age group 51 to 70 years (47.9%), as well as the diagnosis of peptic ulcerous disease (66.7%), followed in lower percentages by acute lesions of the gastric mucous and the rupture of esophageal varices prevailed in the case material. Endoscopic treatment was applied in 27.1% of the patients, none of whom presented with complications attributable to the procedure. Emergency endoscopy is the choice technique to diagnose and treat early hemorrhagic affections from the high digestive tract, what will decisively influence in no recurrence of hemorrhage and in the decrease of mortality due to that cause.

Keywords : high digestive bleeding; emergency oral endoscopy; endoscopic therapy; combined inyectotherapy; esophageal varices ligature; peptic ulcerous disease; gastric mucous acute lesions.

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