Hemorragia digestiva alta

Autores/as

  • Joaquín Andrés Chuecas Jofre Facultad de Medicina, Pontificia Universidad Católica de Chile
  • Tomás Torres Hospital Dr. Sótero del Río
  • Guillermo Cabezas Facultad de Medicina, Pontificia Universidad Católica de Chile
  • Bárbara Lara Hernández Facultad de Medicina, Pontificia Universidad Católica de Chile

DOI:

https://doi.org/10.11565/arsmed.v44i3.1356

Palabras clave:

hemorragia digestiva, inhibidores de bomba de protones

Resumen

La hemorragia digestiva alta es una patología frecuente en los servicios de urgencia de nuestro país y del mundo. Su forma de presentación es variable y dado su riesgo de mortalidad la hacen una condición que debe ser conocida y manejada por el médico general y especialista en medicina de urgencia. Es necesario protocolizar su manejo, lo que permite el diagnóstico oportuno y tratamiento adecuado de cada paciente. Sin embargo, el manejo caso a caso requiere el conocimiento del verdadero impacto de las distintas medidas disponibles para así obtener el mayor provecho de los recursos limitados en un servicio de urgencia, sobre todo en casos de hemorragia digestiva alta exsanguinante. Objetivo: presentar el enfrentamiento, correcto diagnóstico, categorización de riesgo y manejo terapéutico de la hemorragia digestiva alta desde la perspectiva de la medicina de urgencias. Método: se realizó una revisión bibliográfica de la literatura científica sobre esta condición, presentándose la evidencia actual de las evaluaciones diagnósticas e intervenciones terapéuticas más utilizadas actualmente. Resultados: se presenta la evidencia actual respecto a la sospecha, diagnóstico, manejo inicial y disposición de la hemorragia digestiva alta, en el contexto de la atención en un servicio de urgencia.

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Biografía del autor/a

Joaquín Andrés Chuecas Jofre, Facultad de Medicina, Pontificia Universidad Católica de Chile

Residente Programa Medicina de Urgencia PUC

Tomás Torres, Hospital Dr. Sótero del Río

Especialista en Medicina de Urgencia

Guillermo Cabezas, Facultad de Medicina, Pontificia Universidad Católica de Chile

Especialista en Medicina de Urgencia

Bárbara Lara Hernández, Facultad de Medicina, Pontificia Universidad Católica de Chile

Especialista en Medicina de Urgencia

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Publicado

2019-09-26

Cómo citar

1.
Chuecas Jofre JA, Torres T, Cabezas G, Lara Hernández B. Hemorragia digestiva alta. ARS med [Internet]. 26 de septiembre de 2019 [citado 25 de agosto de 2025];44(3):24-3. Disponible en: https://www.arsmedica.cl/index.php/MED/article/view/1356

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Revisión narrativa

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