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Título : Causas más frecuentes que condicionan sangrado de tubo digestivo alto no variceal, y tratamiento requerido
Autor : ESP. TORRES COSME, JOSÉ MARIO HERIBERTO
ESP. ISAAC GUZMÁN, EMMANUEL
REYES PASCUAL, LOURDES PATRICIA
Palabras clave : Sangrado de tubo digestivo alto (STDA)
endoscopia
terapéutica
Fecha de publicación : 21-ene- 31
Resumen : General Purpose: To determinate the most common causes that affect upper gastrointestinal bleeding and required treatment. Study design: Transversal, prospective observational study. Purpose: Diagnosis. Material and Methods: The study population were patients with clinical features of upper gastrointestinal bleeding admitted to the emergency department of Hospital General Regional No 1, Instituto Mexicano del Seguro Social in Merida, Yucatan, from 1 January to 30 September 2010 , and who underwent endoscopic diagnostic study to identify the causative agent in the first 12 to 24 hours of emergency admission. Sectional study conducted with a convenience non-probability sampling to achieve the total of patients in the time stipulated in the draft. Records that met the selection criteria were included in the study. The study variables were confirmed by endoscopy agent, bleeding of upper digestive tube and treatment, other variables were age, gender and comorbidities. The information was collected on a log sheet designed for the study and the data stored in an Excel program book. For quality control an employee checked the correct completion of log sheets and stored data. Comparison of variables and estimation of statistical significance by use of SPSS v 16.0, representing the results in graphs and tables. The medical letter was drafted and is expected to broadcast through the Emergency Medical and Surgical sessions or days of research. Results: Of the 116 patients who met the inclusion criteria, exclusion and elimination. 67 (57.75%) patients were male and 49 (42.24%) were women with a mean age of 65. The demonstration of upper gastrointestinal bleeding with melena was in 58 (50%) patients with hematemesis in 24 (20.68%) patients and the other including the combination of both. The main causes that conditioned upper gastrointestinal bleeding were: erosive gastropathy in 52 patients (54.8%), duodenal ulcer in 18 patients (15.51%), gastric ulcer in 16 patients (13.79%) and esophagitis in 14 patients (12.06%.) Among the comorbidities were heart disease (20.68%), hypertension (HTN) (17.24%) and liver (7.75%) the most common. Endoscopy showed active bleeding in 52 patients (45%), the most common of this percentage, in 16 patients (14%) ulcer with no bleeding visible vessel and 16 patients (14%) had clot adhered to the ulcer and 8 patients (7%) with ulcer and flat pigmented spot. These lesions were undoubtedly treated with infiltration of dilute adrenaline 1mg in 10ml of distilled water applied to the 4 quadrants peripheral injury. Conclusion: In which we find no significance in relation to the variables analyzed in our study with previously published in the medical literature. With the results of this project opens the possibility for further studies in which complications can include mortality and surgical procedures added.
Descripción : General Purpose: To determinate the most common causes that affect upper gastrointestinal bleeding and required treatment. Study design: Transversal, prospective observational study. Purpose: Diagnosis. Material and Methods: The study population were patients with clinical features of upper gastrointestinal bleeding admitted to the emergency department of Hospital General Regional No 1, Instituto Mexicano del Seguro Social in Merida, Yucatan, from 1 January to 30 September 2010 , and who underwent endoscopic diagnostic study to identify the causative agent in the first 12 to 24 hours of emergency admission. Sectional study conducted with a convenience non-probability sampling to achieve the total of patients in the time stipulated in the draft. Records that met the selection criteria were included in the study. The study variables were confirmed by endoscopy agent, bleeding of upper digestive tube and treatment, other variables were age, gender and comorbidities. The information was collected on a log sheet designed for the study and the data stored in an Excel program book. For quality control an employee checked the correct completion of log sheets and stored data. Comparison of variables and estimation of statistical significance by use of SPSS v 16.0, representing the results in graphs and tables. The medical letter was drafted and is expected to broadcast through the Emergency Medical and Surgical sessions or days of research. Results: Of the 116 patients who met the inclusion criteria, exclusion and elimination. 67 (57.75%) patients were male and 49 (42.24%) were women with a mean age of 65. The demonstration of upper gastrointestinal bleeding with melena was in 58 (50%) patients with hematemesis in 24 (20.68%) patients and the other including the combination of both. The main causes that conditioned upper gastrointestinal bleeding were: erosive gastropathy in 52 patients (54.8%), duodenal ulcer in 18 patients (15.51%), gastric ulcer in 16 patients (13.79%) and esophagitis in 14 patients (12.06%.) Among the comorbidities were heart disease (20.68%), hypertension (HTN) (17.24%) and liver (7.75%) the most common. Endoscopy showed active bleeding in 52 patients (45%), the most common of this percentage, in 16 patients (14%) ulcer with no bleeding visible vessel and 16 patients (14%) had clot adhered to the ulcer and 8 patients (7%) with ulcer and flat pigmented spot. These lesions were undoubtedly treated with infiltration of dilute adrenaline 1mg in 10ml of distilled water applied to the 4 quadrants peripheral injury. Conclusion: In which we find no significance in relation to the variables analyzed in our study with previously published in the medical literature. With the results of this project opens the possibility for further studies in which complications can include mortality and surgical procedures added.
URI : http://www.repositoriodigital.ipn.mx/handle/123456789/12456
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