Recurrencia del sangrado no variceal por ulceras gastroduodenales en pacientes de la Unidad de Gastroenterología del Hospital de Especialidades Teodoro Maldonado Carbo, 2019-2020.

Abstract

Peptic ulcer disease is a multifactorial disease, the most common causes are the Helicobacter´presence and the prolonged use of NSAIDs, which will alter the lining of the gastric or duodenal mucosa that will develop the ulcer and its severity depend on the type of lesion individually. To identify what type of lesion will be found, the Forrest scale is used, which provide a staging of ulcerative lesions, that allows predicting the rebleeding probability. Together with Rockall scale that provides patient clinical data as sex, hemodynamic status, and comorbidities, a more accurate prognostic value of rebleeding can be made in patients with peptic ulcer disease. Methodology: Cross-sectional study (observational, descriptive, comparative) and retrospective. Population of 416 patients with a sample of 200 patients previously diagnosed with peptic ulcer disease. Results: the main risk factors are the male sex with 66%, age <80 years old with 84%, arterial hypertension with 54%, as a finding the most common type of injury in our study was the gastric ulcers with 82.5%, and by The FORREST scale the predisposing type of lesion is Forrest III with 78.5%. The Spearman correlation of the scales was performed, which result a value of - 0.037762077 that is equal to -3%, the Alpha coefficient (test) 0.05, and the p-value 0.655 (65%) that is> 0 , 05, the ROCKALL scale and the Forrest scale have no relation to each other, they are independent. The prevalence of gastroduodenal ulcers in the study population was 48%, this means that there is a large percentage of patients with this disease.