Diagnosis and Treatment of Upper Gastrointestinal Bleeding for the Primary Care Physician
Journal Title: International Journal Of Medical Science And Clinical Research Studies - Year 2022, Vol 2, Issue 11
Abstract
Upper gastrointestinal bleeding (UGIB) is a highly prevalent medical-surgical emergency that must be treated early due to its high morbidity and mortality. It presents as bleeding from the esophagus, stomach or proximal duodenum, and is divided into non-variceal and variceal etiology. Among non-variceal ulcers, peptic ulcer stands out as the most frequent, being this produced by an imbalance between protective and aggressive factors. On the other hand, in variceal-type hemorrhages, gastroduodenal varices stand out, which are a consequence of increased portal pressure. The incidence of UGIB worldwide varies considerably between literature and mortality between 5 and 14% according to different studies. Unfortunately, there are no reliable national figures for incidence and prevalence. The physician must have a good understanding of theclinical presentation and pathophysiology in order to be assertive in the suspicion, diagnosis and management of this pathology. Regarding treatment, the confrontation is divided into emergency management and then endoscopic management, since early intensive resuscitation can reduce morbidity and mortality in patients with upper gastrointestinal bleeding
Authors and Affiliations
Melissa Anahí Chan Verdugo, Abraham Martínez Flores, Vania Alexa Patiño Romero, Ayari Estephania Hernández Amaro, Eduardo Quintero Chávez, Eunisse Elizabeth Cázarez Echávarri6
Keywords
Related Articles
- EP ID EP734987
- DOI 10.47191/ijmscrs/v2-i11-31
- Views 59
- Downloads 0
Debunking Old Beliefs: Endoscopic Retrograde Cholangiopancreatography inPregnancy
Pregnancy is a state associated with an increased risk of lithogenesis on the gallbladder. Cholelithiasis during pregnancy has an incidence of 12%, with pregnancy being an important risk factor for gallstone...
Female Patient with Ceftriaxone-Induced Drug Eruption with Eosinophilia and Systemic Symptoms in Second Level Care. Case Report
Drug reaction with eosinophilia and systemic symptoms (DRESS) is a hypersensitivity reaction. Therefore, the case of a 51-year-old woman with no history of drug allergies is presented. In empirical treatment...
An Overview of Hypertensive States During Pregnancy for Primary Care Physicians
With the aim of informing the first contact physician about the hypertensive states of pregnancy, we carried out this bibliographic review. Sources in English and Spanish were consulted for the writing of this article....
Micropapillary Variant of Invasive Mucinous Carcinoma - A Case Report and Review of Literature
Invasive micropapillary variant of mucinous carcinoma breast is an under-recognized category which shares features of both pure mucinous carcinoma and invasive micropapillary carcinoma. Due to its greater propensity for...
Effective Communication Practices in Nursing and Challenges: The Perspectiveof Student Nurses in Anambra State
Effective communication is evident when the sender conveys a message that the receiver readily receives and understands. The study examined the effective communication practices and challenges among nurses...