Abstract

GIL, Carolina  and  RAMIREZ, Zulma. Hemorragia digestiva superior variceal en el hospital central de Maracay durante los años 2004 - 2008. Gen [online]. 2010, vol.64, n.4, pp.348-352. ISSN 0016-3503.

Massive gastrointestinal bleeding caused by esophagealgastric varices’ rupture is the main complication of portal hypertension and represents a frequent cause of death, or liver transplantation on patients with cirrhosis. Purposes: Determining the clinical and endoscopic features, the Child- Pugh score, as well as the therapy efficiency on patients with varicose upper digestive hemorrhage. Materials and Methods: The clinical records of patients with varicose upper digestive hemorrhage staying hospitalized after being checked at Hospital Central de Maracay Adult ER between January 1st 2004 and December 31st 2008. Results: The clinical records of 42 patients were studied, of which 69% was male. The age group ranging 61-70 was the most affected. 43% of cases showed hematemesis. Grade II esophageal varices were the most frequent endoscopic finding. The treatment in 14% of patients was medical, and ligature was the most used endoscopic treatment. The average inpatient time was 5 days, and the blood transfusion average was 1.2 units per patient. Conclusion: Hematemesis was the most frequently present symptom, while the highest rate of finding was Grade II esophageal varices, and varice endoligature was the most used treatment.

Keywords : Upper digestive hemorrhage; esophageal-gastric varices.