Keywords
Hematemesis
occult blood
esophageal and gastric varices
peptic ulcer
How to Cite
Abstract
Upper digestive bleeding occurs at the level of the esophagus, stomach and / or duodenum, which is mainly due to non-variceal causes (80-90%), being the most common cause peptic ulcers, although it can also be caused by the rupture of esophageal varices secondary to portal hypertension. Among the risk factors for the development of this pathology are Helicobacter pylori (H.pylori) infection, the use of non-steroidal anti-inflammatory drugs, as well as the use of antiplatelet and anticoagulant medications. It manifests as hematemesis and melena; and represents a medical emergency, so its initial approach will require evaluationand stabilization of the hemodynamic status and generally endoscopy to identify the cause. Once the cause is found, definitive treatment will be given based on it.
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