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[Emergency endoscopy in upper digestive hemorrhage]
Insights
Upper digestive hemorrhage (UDH) is more common in males over 40, often linked to ulcerogenic substances and stress. Early endoscopic diagnosis is crucial for effective patient management.
Area of Science:
- Gastroenterology
- Internal Medicine
Context:
- Upper digestive hemorrhage (UDH) is a significant clinical concern.
- Incidence increases after the fourth decade of life, predominantly in males.
Purpose:
- To analyze the causes and risk factors of upper digestive hemorrhage.
- To evaluate the diagnostic value of emergency endoscopy in UDH management.
Summary:
- Clinical data and patient history, particularly intake of ulcerogenic substances and stress, are vital for diagnosis.
- Common causes include acute gastric mucosal lesions, duodenal ulcers, and gastric ulcers.
- Emergency endoscopy significantly aids in the therapeutic handling of UDH patients.
Impact:
- Highlights the importance of patient history in diagnosing UDH.
- Emphasizes the leading causes of UDH, guiding clinical suspicion.
- Underscores the critical role of early endoscopic intervention in improving patient outcomes.
Abstract:
In our hospital the incidence of upper digestive hemorhage [UDH] is greater after the 4th decade of age and predominantes in the male sex. The patients' clinical data was important in the diagnosis of the lesion. In 63% of our cases a close relation was found between the previous intake of substances considered ulcerogenous and the hemorrhagic episode, as well as the presence of stress situations. In our experiences the causes of UDH in order of their frequency are: 1. Acute lesions of the gastric mucosa. 2. Duodenal ulcer. 3. Gastric ulcer. 4. Stomal ulcer. 5. Bleeding esophagitis. 6. Others. The digestive hemorrhages of undetermined caused corresponded to 2,33% of the cases. The early diagnosis of UDH by means of emergency endoscope was of great value in the therapeutic handling of patients.