Abstract

GARCIA OROZCO, Lucas et al. Mortality associated with upper gastrointestinal bleeding due to peptic acid disease in patients operated. MEDISAN [online]. 2013, vol.17, n.4, pp.617-624. ISSN 1029-3019.

Introduction: there are several criteria regarding the identification of patients with upper gastrointestinal bleeding who require emergency surgical treatment because of their high lethality and mortality rate. Objective: to value the mortality due to high gastrointestinal bleeding associated with acid peptic disease. Methods: a descriptive study was carried out in 38 patients who were operated due to gastrointestinal bleeding associated with acid peptic disease and who died in "Saturnino Lora" Provincial Teaching Clinical Surgical Hospital during 2002-2011. Results: there was a prevalence of the male sex and age group of 60 years and over in the case material. Massive and persistent bleeding was the most common condition to decide emergency surgical treatment. Truncal vagotomy plus pyloroplasty was the most used technique, while respiratory infection and septic shock were found to be the major postoperative complications; the latter and multiple organ dysfunction were the most representative direct causes of death. Conclusions: to select the surgical technique for each patient it should be considered the cause of bleeding, location, clinical state and age; although truncal vagotomy, associated with some drainage procedure, was the most used because it is less complicated and the antacid effect is most effective.

Keywords : mortality; surgical treatment; upper gastrointestinal bleeding; peptic ulcer.

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