%0 Journal Article
%T Escleroterapia endosc¨®pica en el sangramiento digestivo alto de origen no variceal
%A Palomino Besada
%A Amada Belkis
%A S¨²arez Conejera
%A Ana Mar¨ªa
%A Brunate Pozo
%A Mercedes
%J Revista Cubana de Medicina Militar
%D 2007
%I ECIMED
%X to demonstrate possibilities of technique from endoluminal injections as therapy using vasoconstrictor substances for suppression of bleeding episodes in high digestive tract of non-varicella cause, a retrospective study was performed including 110 patients underwent emergence endoscopy over a year at ¡°carlos j. finlay¡± central military hospital . from these, only in 30 % (27.2 %) it was necessary endoscopic treatment, classified as forrest 1.12 (40 %) y forrest ii18 (60 %). therapeutical method injection-therapy. two patients presenting with active rebleeding at 48 hours (7.14 %), and another one (3.5 %) presenting with signs of recent bleeding; the three patients were injected, and; control endoscopy was performed at following 48 hours, without signs of rebleeding. hemostasis at the end of treatment as a successful evolution criterion of it was of 93.3 % with a failure in two patients (6.6 %). fifty six percentage (56 %) had hemoglobin figures lower than 10 g/l, and it was necessary 2.6 iu as average of transfusions. average hospital stage was of 5.8 days. in 10 % it was necessary surgical intervention. lethal rate was of 0.9 %, and mortality was of 0.10 %. we conclude that procedure maintains its usefulness and validity as a therapeutical method in these cases.
%K bleeding
%K high digestive tract
%K peptic ulcer
%K endoluminal injection therapy.
%U http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0138-65572007000200002&lng=en&nrm=iso&tlng=en