[Value of emergency endoscopy in upper digestive hemorrhage].
The present study analyses 197 patients with acute upper GI bleeding; 161 men and 36 women, with mean age of 48 years (range, 2-89). Endoscopy showed a sensitivity of 98.35%; specificity of 33.33%; predictive positive value 94.71%; predictive negative value 62.50%; false positive rate 5.29% and false negative rate 37.50%. 8.93% of patients had been bleeding by two lesion and 0.57% had three or more lesion bleeding simultaneously. 42.65% of bleeding patients had other potential bleeding lesions: 32.96% had one 8.02% two and 1.67% more than three. 5.83% were Forrest I-A; 14.56% I-B; 74.76% II and 4.85% Forrest III. The greatest mortality rate was associated with high volume of transfused blood p < 0.05. No statistical differences was demonstrated between medical and surgical treatment (p > 0.05). The general mortality rate without intensive care was 12.37%; for peptic ulcer 9.18%; congestive gastritis 4.76%; esophageal varices 70% and acute gastritis 6.06%.
Salvador Añez
M
M
Unidad de Hepatología-Gastroenterología y Nutrición, Hospital Central Dr. Pedro Emilio Carrillo, Valera.
González Guerra
H
H
Pacheco
J L
JL
Canelón
F M
FM
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004630:Emergencies; D016099:Endoscopy, Gastrointestinal; D004932:Esophageal and Gastric Varices / Q000150:complications; D005260:Female; D005756:Gastritis / Q000150:complications; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000628:therapy; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications; D008297:Male; D008309:Mallory-Weiss Syndrome / Q000150:complications; D008875:Middle Aged; D011127:Polyps / Q000150:complications; D011237:Predictive Value of Tests; D013274:Stomach Neoplasms / Q000150:complications
El valor de la endoscopia de emergencia en hemorragia digestiva superior.