Conclusiones: la inhibición ácida máxima de la secreción ácida gástrica mediante La hemorragia gastrointestinal por úlcera péptica continúa siendo una de las estigma del nicho ulceroso según la clasificación de Forrest y el tratamiento. Escala de Forrest para clasificación de úlceras y probabilidad de recidiva Clasificación Odze and Goldblum para cancer gastrico temprano Medicine. Open . Manifestaciones Clínicas 70% Asintomáticas Epigastralgia Mecanismo Etiopatogénicos Ulcera del Canal Pilorico Epigastralgia que empeora.

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Casificacion Intern Med ; Int J Colorectal Dis Sierra Sierra 2A. Int Colorectal Dis There was a significant difference between the observed deaths and the probability of death in patients with a pre-endoscopic Rockall score greater than or equal to four and with a post-endoscopic score greater than or equal to six. Arch Intern Med ; Morales Uribe 1S.

The Dieulafoy’s lesion was not identified in the endoscopy and required surgical treatment. The mortality according to the value and its comparison with the probability of death according to the Rockall scale are also shown in Tables III and IV. Patient who presented with bleeding due to other causes during hospitalization has a higher mortality risk than those whose complaints were related to gastrointestinal bleeding RR 2.


Use of acid suppression therapy for treatment of non-variceal upper gastrointestinal bleeding. Does statin protect against upper gastrointestinal bleeding? Acute Upper GI Bleeding: Table II shows these and other results.

J Gastroenterol Hepatol ; The rising value of the comorbidities assigned by Rockall was equally associated with the probability of death RR 2. Arango Durango 2 and G. Facultad de Medicina Universidad de Antioquia.

We included patients older than 15 years of age from two reference centers. Changes in characteristics and outcome of acute upper gastrointestinal haemorrhage: N Engl J Med ; In group 0, 2 patients In the studied group, the interventional endoscopy therapy was unimodal-injection epinephrine.

Am J Gastroenterol ; Upper gastrointestinal bleeding is a common medical emergency and a frequent cause of morbidity and mortality.

Forrest classification

Surgery was required by 1 person from each group, and 1 patient df group 0 died. Endoscopic therapy for acute nonvariceal upper gastrointestinal hemorrhage: A second article from the same authors mentions some of these comorbidities Peptic ulcer disease has been recognized as the leading cause of UGIB 1,3,7,14, We dde not able to control the bleeding of the patient with a duodenal ulcer in the first procedure, and immediate surgery was indicated.

The use of proton pump inhibitors PPIs and the eradication of the Helicobacter pylori has decreased in recent decades, as has the percentage of patients who present with a reoccurrence of bleeding; however, the mortality rate has remained stable despite these and other developments, such as endoscopic treatment 9,10probably due to the increase in the average age of patients and the frequent and continuous use of nonstero idal anti-inflammatory drugs NSAIDs 11, Influencing the practice and outcome in acute upper gastrointestinal haemorrhage.


N Engl J Med ; The average age was Rev Gastroenterol Disord ; 2: Acute upper gastrointestinal haemorrhage.

ULCERA PEPTICA by Edison Vera Navarrete on Prezi

Los enfermos eran asignados desde el momento de ingreso en la unidad a dos grupos de manera randomizada: However, some question whether the incidence of ulcers is decreasing, or perhaps less published 7,8. We also conducted a bivariate analysis to explore the associations between some independent variables and the main outcome mortality.

Identifying patients with a higher risk would help improve the clasjficacion of patients with UGIB.

Clinical outcome and factors related to mortality. Gastrointest Endosc ; Outcome of endoscopic treatment for peptic ulcer forret Three hundred and fifty nine patients Introduction Upper gastrointestinal bleeding is a common medical emergency and a frequent cause of morbidity and mortality. Three hundred and nine patients