Hemorragia digestiva alta no varicosa

  1. M. Betés 1
  2. M. Muñoz-Navas 1
  1. 1 Clínica Universitaria de Navarra
    info

    Clínica Universitaria de Navarra

    Pamplona, España

    ROR https://ror.org/03phm3r45

Journal:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Year of publication: 2016

Issue Title: Enfermedades del aparato digestivo (II): Patología gastroduodenal (I)

Series: 12

Issue: 2

Pages: 82-91

Type: Article

DOI: 10.1016/J.MED.2016.01.013 DIALNET GOOGLE SCHOLAR

More publications in: Medicine: Programa de Formación Médica Continuada Acreditado

Abstract

Aetiopathogenesis Ulcerative disease is the main cause of nonvariceal upper gastrointestinal haemorrhage (originating above the angle of Treitz), although there are many other causes. Diagnosis If haemorrhage is suspected, clinicians should confirm its presence, assess the magnitude of the bleeding, determine whether the haemorrhage remains active, rule out portal hypertension as the cause and establish the prognosis. Treatment Resuscitation measures prevail over any other medical approach. Clinical scales should be employed to stratify patients early, gastric acid secretion needs to be suppressed, and the management of drugs that can change the course of the haemorrhage or are related to its onset needs to be understood. Endoscopy Except for a small group of patients at very low risk, it is advisable to conduct an endoscopy in the first 24 hours, identify the patients who can benefit from early discharge and select those who require endoscopic therapy, applying the appropriate technique in each case. Patients treated endoscopically require a minimum hospital stay of 72 hours. In the event of treatment failure, angiographic treatment or surgery might be indicated.

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Data source: Dialnet