Hemorragia digestiva baja: correlación clínico colonoscópica, en el Hospital Luis Vernaza periodo 2011-2015
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
La hemorragia digestiva baja (HDB) es un problema frecuente, generalmente causado por malformaciones vasculares, divertículos, y neoplasias. Representan el 20% de las hemorragias de tubo digestivo y ocurre a cualquier edad, siendo progresiva hasta la edad avanzada, con predominio en el sexo masculino.
En la actualidad se disponen de una gran variedad de exploraciones para manejar la hemorragia digestiva baja. De todas estas pruebas la colonoscopia convencional es la prueba estándar de oro para el diagnóstico de patologías de colon, y ofrece ventajas sobre otras pruebas. Presenta mayor probabilidad de obtener el diagnóstico y la hemostasia al mismo tiempo.
Se estima que la HDB es la responsable de 20,5 a 27 casos por cada 100.000 adultos. La incidencia de hospitalización 36 casos por cada 100.000 adultos.La causa más frecuente de HDB en pacientes adultos de países occidentales es la diverticulosis con el 10 a 40% de todos los casos, seguida de la neoplasia y la colitis isquémica. Todas estas patologías aumentan su frecuencia con la edad y predominan en el sexo masculino. Otras causas son: hemorroides, pólipos, úlcera solitaria del recto, linfangiomas, proctitis por radiación,angiodisplasia.
Lower gastrointestinal bleeding (HDB) is a common problem, usually caused by vascular malformations, diverticulosis, and tumors. They represent 20 % of digestive tract bleeding and occurs at any age, being progressive to old age, with predominance in males. Nowadays, they have a variety of scans to handle lower gastrointestinal bleeding. Of all these tests conventional colonoscopy is the gold standard test for diagnosing colon pathology, and offers advantages over other tests. You are more likely to get the diagnosis and hemostasis at the same time. It is estimated that the HDB is responsible for 20.5 to 27 cases per 100,000 adults. The incidence of hospitalization 36 cases per 100,000 adults. The most common cause of HDB in adult patients in Western countries is diverticulosis with 10-40 % of all cases, followed by malignancy and ischemic colitis. All these diseases increase in frequency with age and males dominate. Other causes are hemorrhoids, polyps, solitary rectal ulcer, lymphangioma, radiation proctitis, angiodisplasia. Keywords: lower gastrointestinal bleeding, colonoscopy.
Lower gastrointestinal bleeding (HDB) is a common problem, usually caused by vascular malformations, diverticulosis, and tumors. They represent 20 % of digestive tract bleeding and occurs at any age, being progressive to old age, with predominance in males. Nowadays, they have a variety of scans to handle lower gastrointestinal bleeding. Of all these tests conventional colonoscopy is the gold standard test for diagnosing colon pathology, and offers advantages over other tests. You are more likely to get the diagnosis and hemostasis at the same time. It is estimated that the HDB is responsible for 20.5 to 27 cases per 100,000 adults. The incidence of hospitalization 36 cases per 100,000 adults. The most common cause of HDB in adult patients in Western countries is diverticulosis with 10-40 % of all cases, followed by malignancy and ischemic colitis. All these diseases increase in frequency with age and males dominate. Other causes are hemorrhoids, polyps, solitary rectal ulcer, lymphangioma, radiation proctitis, angiodisplasia. Keywords: lower gastrointestinal bleeding, colonoscopy.
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Hemorragia gastrointestinal, Colonoscopía, Hospital Luis Vernaza, Cantón Guayaquil, Ecuador