Prevalencia de hemorragia digestiva alta en pacientes con cirrosis hepática, en el hospital general Guasmo Sur, de enero a junio del 2018.

Abstract

Introduction: The gastrointestinal hemorrhage continues to be one of the main causes of emergency medical attention worldwide and the first cause of gastroenterological nature. It is estimated a prevalence of 40 to 150 cases per 100,000 inhabitants, although since 1950 the prevalence of upper gastrointestinal bleeding (UGIB) decreased, the overall figure did not change as paradoxically increased low digestive hemorrhages. The objective of this project was to determine the prevalence of upper gastrointestinal bleeding in patients with Hepatic Cirrhosis who were admitted to the Guasmo Sur Hospital from January to June 2018. Methodology: For the design of the study, we decided to select the Historical Cohort study, due to that we will follow up on the observational, descriptive and analytical type of patients. Of the 592 patients with liver cirrhosis treated during the period from January to June 2018 in the Guasmo Sur General Hospital, a sample of 151 patients who met the inclusion criteria for this investigation was taken. We determined through this sample and population that the prevalence of upper gastrointestinal bleeding in patients with liver cirrhosis corresponds to 25.5%. 33.8% of patients presented Hepatoalcoholic Cirrhosis and non-alcoholic steatohepatitis; it is observed that 55.6% of patients presented Child Pugh B where it is indicated that the 2-year over-life is between 60 and 80%. Among the complications associated with digestive hemorrhage, the presence of Ascitis was more frequent. 58.3% of the patients presented grade IV esophageal varices Key Words: High Digestive Hemorrhage, Cirrhosis, Esophageal Varices.