Hemorragia digestiva alta por varices esofágicas: sangrado posterior a profilaxis primaria. Estudio a realizar en el Hospital Universitario de Guayaquil durante el período 2013-2015
No hay miniatura disponible
Fecha
2016
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
Los pacientes que padecen cirrosis hepática poseen hipertensión portal, la cual produce muchas complicaciones ente ellas las varices esofágicas, estas pueden llegar a romperse y sangrar, la finalidad de este trabajo de investigación fue analizar el tipo y eficacia de la profilaxis primaria disponible y usada en pacientes con varices esofágicas para evitar la presencia de hemorragia digestiva alta, en pacientes atendidos en el Hospital Universitario de Guayaquil en el periodo 2013-2015.
El estudio planteado es de tipo indirecto retrospectivo descriptivo basado en las historias clínicas que reposan en el departamento de estadística y en la información obtenida del sistema informático del Hospital Universitario de Guayaquil
Tomando en cuenta que el universo total es de 352 pacientes atendidos en el Hospital Universitario de Guayaquil durante el periodo 2013 - 2015, en el servicio de la especialidad de Gastroenterología, se puede apreciar que en 192 pacientes estudiados, el tratamiento de elección usado como profilaxis primaria fue el farmacológico, con betabloqueantes no cardioselectivos como es el propanolol, 21 pacientes de estos presentaron su primer evento de hemorragia digestiva, de los 171 pacientes restantes no han presentado sangrado alguno.
Patients with liver cirrhosis have portal hypertension, which produces many body complications including esophageal varices, these can break and bleed, the purpose of this research was to analyze the type and effectiveness of primary prophylaxis available and used in patients with esophageal varices to avoid the presence of upper gastrointestinal bleeding in patients treated at the University Hospital of Guayaquil in 2013-2015. The proposed study is descriptive retrospective indirect type based on medical records that rest in the department of statistics and information obtained from the computer system of the University Hospital of Guayaquil Considering that the total universe of 352 patients treated at the University Hospital of Guayaquil during the period 2013-2015, in the service of the specialty of Gastroenterology, you can see that in 192 patients studied, the treatment of choice used prophylactically was the primary drug, with noncardioselective as propranolol, 21 of these patients had their first event of gastrointestinal bleeding, the remaining 171 patients have not reported any bleeding beta blockers.
Patients with liver cirrhosis have portal hypertension, which produces many body complications including esophageal varices, these can break and bleed, the purpose of this research was to analyze the type and effectiveness of primary prophylaxis available and used in patients with esophageal varices to avoid the presence of upper gastrointestinal bleeding in patients treated at the University Hospital of Guayaquil in 2013-2015. The proposed study is descriptive retrospective indirect type based on medical records that rest in the department of statistics and information obtained from the computer system of the University Hospital of Guayaquil Considering that the total universe of 352 patients treated at the University Hospital of Guayaquil during the period 2013-2015, in the service of the specialty of Gastroenterology, you can see that in 192 patients studied, the treatment of choice used prophylactically was the primary drug, with noncardioselective as propranolol, 21 of these patients had their first event of gastrointestinal bleeding, the remaining 171 patients have not reported any bleeding beta blockers.
Descripción
Palabras clave
Hemorragia gastrointestinal, Varices esofágicas, Profilaxis primaria, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador