[ENDOSCOPIC TREATMENT OF UPPER GASTROINTESTINAL BLEEDINGCAUSED BY PEPTIC ULCER]
Upper digestive bleeding (UDB) owing to peptic ulcer, 52 Forrest I and 116 Forrest II, was studied prospectively in 168 patients. Therapeutic endoscopy was performed to those patients at the Endoscopic Surgery Center of the "General Calixto Garcia" Hospital during a period of 13 months, beginning on December, 1995. Different hemostatic methods, chosen at random, were used for determining their efficacy in bleeding control and therefore, reducing lethality, mortality, hospitalization time and others. Chi-square and f-Fischer tests were applied through the STATGRAPHICS 4,0 package for statistical analysis. Immediate hemostatic efficacy was obtained in 97,8%, not existing significant statistical differences between the methods used for bleeding control. Recurrent hemorrhage ocurred in 13,1%. Mean hospitalization time was 7,19 days and the most frequent hospitalization time (mode) was just 3 days. The average amount of blood units transfused was 2,87. Surgery was required by 9,5% of patients and just 2,9% were urgent cases due to hemorrhage. Lethality owing to bleeding was 1,8%, and mortality was 0,23%. This experimental group was compared with a historic control group composed of 404 patients who received conventional treatment for UDB owing to peptic ulcer from 1991 to 1993 in Militar Hospital "Carlos J. Finlay". Mean hospitalización time blood units transfused was 5,9 (according to the medical information available for this kind of treatment). Surgery was required by 27,2% of patients. Lethality was 9,9% and mortality was 1.5%. Comparing results obtained in both groups through statistial methods, the abatement of mortality, lethality, mean hospitalization time, transfused blood consumption, and emergency surgeries due to hemorrhage is highly significant.
León
Francisco R.
FR
Ruiz
Julián
J
Palomino
Amada
A
Torres
Rafael
R
Fernández
Arnulfo
A
Martinez
Miguel A.
MA