Profilaxis y tratamiento de la hemorragia digestiva alta en pacientes cirróticos. Hospital Vicente Corral Moscoso. 2019

Abstract

INTRODUCTION: Variceal bleeding is the leading cause of upper gastrointestinal bleeding in cirrhotic patients. Due to the significant risk of morbidity and mortality, effective primary prophylaxis and treatment protocols have been established, so we want to analyze compliance with these guidelines at the Vicente Corral Moscoso Hospital (HVCM). GENERAL OBJECTIVE: Recognize the characteristics of cirrhotic patients with variceal upper gastrointestinal bleeding, as well as compliance with prophylaxis and treatment of upper gastrointestinal bleeding in cirrhotic patients at the Vicente Corral Moscoso Hospital in 2019. MATERIALS AND METHODS: A descriptive cross-sectional study was carried out with all cirrhotic patients who were admitted due to variceal upper gastrointestinal bleeding during 2019 at the HVCM. The data were collected using a form created in the Kobo Tool Box program from medical records; The results were analyzed in the Microsoft Excel 2016 and PSPP programs. Approval was obtained from the Health Research Bioethics Committee (COBIAS) of the University of Cuenca and authorization from the Hospital. RESULTS: From all the patients studied, 70% were men; 25% were between 50 and 59 years old; 59% of the population studied did not receive primary prophylaxis and it stood out that 56% did not receive treatment. CONCLUSION: The data obtained show that less than half of the patients studied received primary prophylaxis and/or treatment, corresponding to non-selective beta-blockers and endoscopic ligation, respectively.