<?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>2444-6483</journal-id>
<journal-title><![CDATA[Endoscopia]]></journal-title>
<abbrev-journal-title><![CDATA[Endoscopia]]></abbrev-journal-title>
<issn>2444-6483</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Endoscopia Gastrointestinal A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-64832019000600267</article-id>
<article-id pub-id-type="doi">10.24875/end.m19000107</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Abordaje diagnóstico-terapéutico de pacientes con úlceras pépticas hemorrágicas en un Hospital público del Noroeste de México]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Inzunza-González]]></surname>
<given-names><![CDATA[Jesús Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gallardo-Angulo]]></surname>
<given-names><![CDATA[Víctor Efrén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gallardo-Cabrera]]></surname>
<given-names><![CDATA[Víctor Efrén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Escutia]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Secretaría de Salud Hospital General de Culiacán &#8220;Dr. Bernardo J. Gastélum&#8221; Servicio de Gastroenterología y Endoscopia Digestiva]]></institution>
<addr-line><![CDATA[Culiacán Sinaloa]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<volume>31</volume>
<fpage>267</fpage>
<lpage>273</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-64832019000600267&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-64832019000600267&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-64832019000600267&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La enfermedad ulcerosa péptica es la causa más frecuente de hospitalización por hemorragia de tubo digestivo alto. En 1974, J.A.H. Forrest describió una clasificación basada en las diferentes características endoscópicas de úlceras pépticas gastroduodenales con hemorragia activa o reciente, las cuales se asocian a diferentes riesgos.  Objetivo general: Clasificar por subgrupos los pacientes que cursaron con úlcera péptica hemorrágica y determinar el riesgo de hemorragia recurrente, tratamiento quirúrgico y la mortalidad.  Ubicación temporal: 01 de Enero de 2015 al 31 de Diciembre de 2018.  Tipo de estudio: Serie de casos (descriptivo, longitudinal, prospectivo, retrolectivo).  Resultados: la población de estudio constó de 284 pacientes (N=284).El género masculino 65.14% (n=185) y femenino. 34.86% (n=99). La edad promedio fue 62.03+-17.72 años. Las úlceras grado III constituyeron el 51.76% de los pacientes (n=147), IIC 26.05% (n=74), IIB 12.67% (n=36), IIA 6.69% (n=19), IB 2.11% (n=6) y IA (0.7%). No ameritaron tratamiento endoscópico el 77.81% (n=221). Los grupos con úlceras grado IA, IB, IIA y IIB fueron tratados 44 de 63 pacientes, igual a 69.84%. El 50% de las úlceras grado IIB no se les dio tratamiento endoscópico. La inyección de adrenalina diluida sola se empleó en 86.04%. La recurrencia de hemorragia ocurrió en 13.88% de las úlceras grado IIB (5/36), 5.26% en las úlceras grado IIA (1/19) y 2.7% en las úlceras grado IIC (2/74). El tratamiento quirúrgico correspondió al 0.7% (2/284). La mortalidad global fue del 2.81% (8/284).  Conclusiones: en nuestro hospital, la clasificación de Forrest nos permitió estratificar el riesgo de forma práctica y sencilla, primeramente estableciendo el diagnóstico de la(s) úlcera(s). La recurrencia de hemorragia fue inferior a lo reportado en la literatura. Al subgrupo de riesgo IIB se le debe brindar aún más la posibilidad de tratamiento endoscópico. La cirugía es un tratamiento alternativo en un número francamente reducido de pacientes. El porcentaje de mortalidad es bajo en pacientes con comorbilidades asociadas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: Peptic ulcer disease is the most common cause of hospitalization due to upper gastrointestinal bleeding. In 1974, J.A.H. Forrest described a classification based on the different endoscopic characteristics of gastroduodenal peptic ulcers with active or recent hemorrhage, which are associated with different risks.  Objective: To classify by subgroups the patients who had hemorrhagic peptic ulcer and to determine the risk of recurrent hemorrhage, surgical treatment and mortality.  Temporary location: January 01, 2015 to December 31, 2018.  Type of study: Case series (descriptive, longitudinal, prospective, retrolective).  Results: the study population consisted of 284 patients (N=284). The male sex 65.14% (n=185) and female. 34.86% (n=99). The average age was 62.03 + -17.72 years. The ulcers grade III constituted 51.76% of the patients (n=147), IIC 26.05% (n=74), IIB 12.67% (n=36), IIA 6.69% (n=19), IB 2.11% (n=6) and IA (0.7%). 77.81% (n=221) did not need endoscopic treatment. The groups with ulcers grade IA, IB, IIA and IIB were treated 44 of 63 patients, equal to 69.84%. Fifty percent of grade IIB ulcers were not given endoscopic treatment. The diluted adrenaline injection alone was used in 86.04%. The recurrence of hemorrhage occurred in 13.88% of ulcers grade IIB (5/36), 5.26% in ulcers grade IIA (1/19) and 2.7% in ulcers grade IIC (2/74). The surgical treatment corresponded to 0.7% (2/284). The overall mortality was 2.81% (8/284).  Conclusions: In our hospital, the Forrest classification allowed us to stratify the risk in a practical and simple way, first establishing the diagnosis of the ulcer (s). The recurrence of hemorrhage was lower than that reported in the literature. The IIB risk subgroup should be given even more possibility of endoscopic treatment. Surgery is an alternative treatment in a frankly reduced number of patients. The percentage of mortality is low in patients with associated comorbidities.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Úlcera péptica hemorrágica]]></kwd>
<kwd lng="es"><![CDATA[Clasificación de forrest]]></kwd>
<kwd lng="es"><![CDATA[Tratamiento endoscópico]]></kwd>
<kwd lng="es"><![CDATA[Recurrencia de hemorragia]]></kwd>
<kwd lng="es"><![CDATA[Tratamiento quirúrgico]]></kwd>
<kwd lng="es"><![CDATA[Mortalidad]]></kwd>
<kwd lng="en"><![CDATA[Bleeding peptic ulcer]]></kwd>
<kwd lng="en"><![CDATA[Forrest classification]]></kwd>
<kwd lng="en"><![CDATA[Endoscopic treatment]]></kwd>
<kwd lng="en"><![CDATA[Recurrence of hemorrhage]]></kwd>
<kwd lng="en"><![CDATA[Surgical treatment]]></kwd>
<kwd lng="en"><![CDATA[Mortality]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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