Factores de riesgo asociados a hemorragia digestiva alta por varices esofágica en pacientes menores de 50 años. Hospital de Especialidades Teodoro Maldonado Carbo. Enero del 2015 a diciembre del 2016.

Abstract

Introduction: Esophageal varices are blood channels that join venous circulation with systemic circulation. These consist in complications associated with elevated blood pressure in portal circulation. Esophageal varices bleeding is the most frequent cause of upper digestive bleeding. Material and Methods: It consists in a not experimental and descriptive investigation, where an amount of 114 under 50 years old patients wit h Upper Digestive Bleeding Final Diagnosis were grouped. All these patients were attended in Hospital Teodoro Maldonado Carbo, in the period within January 2015 and December 2016. Results: A prevalence of 65% was found in male patients, but an association between male sex and this disease was not achieved. The average age in female patients was of 33 years old, while in male patients was of 40. Mortality index was of 16% (p<0,001). NSAIDS were present in 66% of cases. Alcohol and tobacco consumption were present in 55 and 58% of cases. All of these factors had association with Upper Digestive Bleeding caused by Esophageal Varices (p<0,005). Conclusions: Male patients have more risk of developing Upper Digestive Bleeding caused by Esophageal Varices, having also an increase in risk of mortality. An association between alcohol, tobacco and NSAIDS consumption with Esophageal Varices was established, which also increased risk of patient´s mortality.