Escleroterapia endoscópica en el sangramiento digestivo alto de origen no variceal

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.