SciELO - Scientific Electronic Library Online

 
vol.33 número4Utilidad del score de Baylor en pacientes con hemorragia digestiva alta en un hospital de Lima - PerúColangiopancreatrografía retrógrada endoscópica: una técnica en permanente evolución índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

  • No hay articulos citadosCitado por SciELO

Links relacionados

  • No hay articulos similaresSimilares en SciELO

Compartir


Revista de Gastroenterología del Perú

versión impresa ISSN 1022-5129

Resumen

PARRA PEREZ, Víctor Felipe; RAYMUNDO CAJO, Roxana Magali  y  GUTIERREZ DE ARANGUREN, Constantino Fernando. Related factors to re-bleeding and mortality in cirrhotic patients with acute variceal bleeding at Hipolito Unanue Hospital, Lima, Peru. Rev. gastroenterol. Perú [online]. 2013, vol.33, n.4, pp.314-320. ISSN 1022-5129.

Objectives: To determine related factors to 5 days re-bleeding and 6 week-mortality of an episode of variceal bleeding in cirrhotic patients. Material and methods: Observational, descriptive, co relational, retrospective study. In this study were included the cirrhotic patients who entered to Hipolito Unanue Hospital, Lima, Peru, between January 2006 and February 2012 with suspicion of variceal bleeding. Were excluded patients who bled from nonvariceal origin, or that did not have the data in clinical history to calculate the Child Pugh score, the Model for terminal diseases of the liver (MELD), or the endoscopic report detailing the bleeding source and the presence of esophageal and/or gastric varices. Results: We include 63 patients, 35 (55.6%) were men. The median of age was of 64 years. 26 of them (41.3%) were Child Pugh C, where as the median of MELD score was 9. The multivariate analysis found that the Child Pugh score was related to 6 weeks-mortality (p=0,003), where as the presence of active bleeding during endoscopy (p=0.012) and the value of creatinine (p=0.012) were related to 5 days re-bleeding. Conclusions: The Child Pugh score was related to 6 weeks-mortality in cirrhotic patients with variceal bleeding. Active bleeding during endoscopy and the value of creatinine were related to 5 days re-bleeding.

Palabras clave : Gastrointestinal hemorrhage; Liver cirrhosis; Risk factors; Mortality.

        · resumen en Español     · texto en Español     · Español ( pdf )