Resumen

SALAZAR, Sandra et al. Frecuencia de consumo de Aines en los pacientes con hemorragia digestiva superior no variceal. Gen [online]. 2009, vol.63, n.1, pp.47-50. ISSN 0016-3503.

Background: efficacy of non-steroidal anti-inflammatory drugs (NSAID) contrasts with the onset of diverse gastrointestinal lesions, being gastroduodenal ulcers the most important of them, given their frequency and potential complications. Objective: Determine the frequency of NSAID use in patients with nonvariceal upper digestive bleeding. Material and methods: the studied population was constituted by all patients with non-variceal higher digestive bleeding admitted to the Emergency Department of Antonio Maria Pineda Central University Hospital from July 2007 to January 2008, excluding patients with esophageal varices and cirrhosis. A structured survey was conducted to collect identification data, pathological background, use of NSAID, type and duration of use, and endoscopic findings. Results: 97 patients with non-variceal upper digestive bleeding were studied, 69% of them were male and 33% were aged from 48 to 62 years. Fifty-two percent of the patients used some type of NSAID and 9% mentioned using more than two NSAIDs simultaneously; 64% were elderly patients. The most frequent NSAID used was aspirin in 67% of the patients. The most common pathological background was high blood pressure in 50%, followed by arthropaties in 13% of the cases. Endoscopic findings were mostly gastric ulcers (27%) and erosive gastritis (23%). Eighty-five percent of the patients were receiving NSAID under medical prescription. Conclusions: non-variceal upper digestive bleeding related to the use of NSAID is frequent, mostly in older patients, being gastric ulcer the most frequent endoscopic finding.

Palabras clave : non-steroidal anti-inflammatory drugs; upper digestive bleeding; NSAID.