{"id":2422,"date":"2011-07-14T12:18:32","date_gmt":"2011-07-14T12:18:32","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/gasaugh\/"},"modified":"2025-05-13T20:28:52","modified_gmt":"2025-05-13T20:28:52","slug":"gasaugh","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/gasaugh\/","title":{"rendered":"Criterios para Hemorragia Gastrointestinal Alta Aguda"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>La hemorragia gastrointestinal alta aguda es frecuente y potencialmente mortal y requiere una pronta evaluaci\u00f3n y tratamiento m\u00e9dico agresivo. Todos los pacientes deben someterse a una endoscopia para diagnosticar, evaluar y tratar cualquier posible lesi\u00f3n subyacente.<br \/>\n<!--more--><br \/>\n<strong>Criterios para Hemorragia Gastrointestinal Alta Aguda<\/strong><br \/>\n<span class=\"hps\">La\u00a0<\/span><span class=\"hps\">hemorragia digestiva alta<\/span><span class=\"hps\">\u00a0aguda<\/span>\u00a0<span class=\"hps\">debe cumplir<\/span>\u00a0<span class=\"hps\">al menos uno de<\/span>\u00a0<span class=\"hps\">los siguientes criterios:<\/span><\/p>\n<ul>\n<li>Hematemesis, definido como\n<ul>\n<li>&gt;\/= 1 episodio de v\u00f3mito de sangre fresca o un material simil granos de caf\u00e9, en presencia de personal m\u00e9dico o de enfermer\u00eda o<\/li>\n<li>Historia de &gt;\/= 1 episodio de emesis de sangre fresca o granos de caf\u00e9, junto con cualquiera de los siguientes:\n<ul>\n<li>Hipotensi\u00f3n (presi\u00f3n arterial sist\u00f3lica &lt;100 mm Hg), hipotensi\u00f3n ortost\u00e1tica (disminuci\u00f3n &gt;\/= 20 mm Hg en la presi\u00f3n sist\u00f3lica en posici\u00f3n supina a la de pie o una disminuci\u00f3n de &gt;\/= 10 mm Hg en posici\u00f3n supina a sentado, o un aumento en la frecuencia card\u00edaca de &gt;\/= 20\/min de posici\u00f3n supina a pie, o un aumento en la frecuencia cardiaca de &gt;\/= 10\/min de posici\u00f3n supina a sentado) O<\/li>\n<li>Nueva anemia (nivel de hemoglobina o hematocrito por debajo del l\u00edmite inferior de lo normal y ausencia de registro anterior en la historia cl\u00ednica) o melena observada<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li>Melena informada u observada\u00a0 con una EDA diagn\u00f3stica<\/li>\n<li>Hematemesis reportada con una EDA diagn\u00f3stica<\/li>\n<li>Hematoquecia observada o reportada con aspirado nasog\u00e1strico de sangre fresca u oscura<\/li>\n<\/ul>\n<p>Abreviatura: EDA, endoscopia digestiva alta.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Imperiale TF, Dominitz JA, Provenzale DT, Boes LP, Rose CM, Bowers JC, Musick BS, Azzouz F, Perkins SM. Predicting poor outcome from acute upper gastrointestinal hemorrhage. Arch Intern Med. 2007 Jun 25;167(12):1291-6. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17592103\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Rockall TA, Logan RF, Devlin HB, Northfield TC. Selection of patients for early discharge or outpatient care after acute upper gastrointestinal haemorrhage. National Audit of Acute Upper Gastrointestinal Haemorrhage. Lancet. 1996 Apr 27;347(9009):1138-40. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8609747\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Jul 14, 2011.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>La hemorragia gastrointestinal alta aguda es frecuente y potencialmente mortal y requiere una pronta evaluaci\u00f3n y tratamiento m\u00e9dico agresivo. Todos los pacientes deben someterse a una endoscopia para diagnosticar, evaluar y tratar cualquier posible lesi\u00f3n subyacente.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[53],"tags":[231,230,1197,16,15,1196,1195,1194,1198],"class_list":["post-2422","post","type-post","status-publish","format-standard","hentry","category-gastroenterology","tag-acute","tag-aguda","tag-alta","tag-criteria","tag-criterios","tag-gastrointestinal","tag-hemorragia","tag-hemorrhage","tag-upper"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2422","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2422"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2422\/revisions"}],"predecessor-version":[{"id":9327,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2422\/revisions\/9327"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2422"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2422"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2422"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}