<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202021000200008</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2021.agosto.8</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Caracterización endoscópica de pacientes con hemorragia digestiva alta en el servicio de Endoscopía Digestiva, Hospital Nacional de Itauguá, período 2020.]]></article-title>
<article-title xml:lang="en"><![CDATA[Endoscopic characterization of patients with upper gastrointestinal bleeding in the digestive endoscopy department, Hospital Nacional de Itauguá, period 2020.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz-Benítez]]></surname>
<given-names><![CDATA[Miryan Idalina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Masi]]></surname>
<given-names><![CDATA[Alma Liliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Adorno]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Prieto]]></surname>
<given-names><![CDATA[Ivan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Centro Médico Nacional Departamento de Endoscopía Digestiva, Servicio de Endoscopía Digestiva]]></institution>
<addr-line><![CDATA[Itauguá ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<volume>45</volume>
<numero>2</numero>
<fpage>8</fpage>
<lpage>12</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202021000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202021000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202021000200008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivos:  Determinar las causas de hemorragia digestiva alta en los pacientes que se sometieron a endoscopía digestiva y el tratamiento realizado en el Servicio de Endoscopía Digestiva del Hospital Nacional de Itauguá en el período comprendido entre marzo del 2020 a diciembre del 2020.  Materiales y métodos:  estudio retrospectivo, descriptivo y de corte transversal.  Resultados:  fueron incluidos 251 pacientes, el promedio de edad fue de 61 años con un rango de 18 a 89, 69,7% fueron hombres. Las causa más frecuente de sangrado fue la enfermedad ulceropéptica (27,8%), seguida por las várices esofágicas y gastro-esofágicas (25,8%), las úlceras duodenales (19.5%), las gastritis agudas erosivas (10,3%), y la esofagitis aguda erosiva hemorrágica (9,1%). Causas menos frecuentes fueron las hemorragias por neoplasias intestinales, las úlceras de Cameron, la ectasia vascular antral, el síndrome de Mallory-Weiss y la hemobilia. El tratamiento realizado para las úlceras gástricas y duodenales fueron con sustancias vasoactivas solamente (adrenalina diluida) o combinadas con bipolar; para las várices esofágicas se utilizaron las ligaduras con banding y para las gastroesofágicas sustancias esclerosantes (polidocanol). Presentaron recidivas las úlceras gástricas tratadas con únicamente con adrenalina en 4 pacientes.  Conclusiones: La hemorragia digestiva alta es quizá una de las indicaciones más frecuentes para realizar un estudio endoscópico y es también una de las áreas donde la utilización de la misma ha demostrado un mayor impacto. Es también una causa frecuente de consulta de urgencia y en general existen amplias variaciones en cuanto a su etiología y frecuencia por lo que un consenso en su manejo puede tener un gran impacto por su aplicabilidad generalizada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objectives:  To determine the causes of upper gastrointestinal bleeding in patients who underwent digestive endoscopy and the treatment performed in the digestive endoscopy service of the Hospital Nacional de Itauguá a in the period from March 2020 to December 2020.  Materials and methods: Retrospective, descriptive and cross-sectional study made up of 251 patients who required digestive endoscopy due to upper gastrointestinal bleeding registered in the digestive endoscopy service of the National Hospital of Itauguá in the period from March to December 2020.  Results: In this study, 251 patients were included, with an age range of 18 to 89 years; 69.7% were men. The most common cause of bleeding waspeptic ulcer disease (27.8%), followed by esophageal and gastroesophageal varices (25.8%), duodenal ulcers (19.5 %), acute erosive gastritis (10.3%), and acute erosive hemorrhagic esophagitis (9.1%). Less frequent causes were bleeding from intestinal neoplasms occurred, cameron lesions, antral vascular ectasia, Mallory-Weiss syndrome, and hemobilia. The treatment for gastric and duodenal ulcers was vasoactive substances alone (1:10,000 adrenaline) or combined with bipolar; for esophageal varices, banding ligatures were used and for gastroesophageal sclerosing substances (polidocanol). Gastric ulcers treated with epinephrine alone presented recurrence in 4 patients.  Conclusions: Upper gastrointestinal bleeding is perhaps one of the most frequent indications for an endoscopic study and it is also one of the areas where its use has shown a greater impact. It is also a frequent cause of emergency consultation and in general there are wide variations in terms of its etiology and frequency, so a consensus on its management can have a great impact due to its generalized applicability.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hemorragia digestiva alta]]></kwd>
<kwd lng="es"><![CDATA[Tratamiento endoscópico]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico endoscópico]]></kwd>
<kwd lng="en"><![CDATA[Upper gastrointestinal bleeding]]></kwd>
<kwd lng="en"><![CDATA[Endoscopic treatment]]></kwd>
<kwd lng="en"><![CDATA[endoscopic diagnosis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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