{"id":5847,"date":"2019-12-12T23:01:19","date_gmt":"2019-12-12T23:01:19","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=5847"},"modified":"2026-01-13T20:51:02","modified_gmt":"2026-01-13T20:51:02","slug":"gastrointestinal-bleeding","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/gastrointestinal-bleeding\/","title":{"rendered":"Clasificaci\u00f3n de Hemorragia Gastrointestinal Alta Relacionado con \u00dalceras"},"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 clasificaci\u00f3n de Forrest es ampliamente utilizada en la hemorragia digestiva alta (HDA) relacionada con \u00falceras. Inicialmente se desarroll\u00f3 para unificar la descripci\u00f3n del sangrado por \u00falceras para una mejor comunicaci\u00f3n entre los endoscopistas. Sin embargo, la Clasificaci\u00f3n de Forrest ahora se usa como una herramienta para identificar a los pacientes que tienen un mayor riesgo de sangrado, nuevas hemorragias y mortalidad.<!--more--><\/p>\n<p><strong>Clasificaci\u00f3n de Forrest<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td colspan=\"\\&quot;2\\&quot;\"><strong>Hemorragia aguda<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Forrest Ia<\/td>\n<td>Chorro activo<\/td>\n<\/tr>\n<tr>\n<td>Forrest Ib<\/td>\n<td>Exudaci\u00f3n activa<\/td>\n<\/tr>\n<tr>\n<td><strong>Signos de hemorragia reciente<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Forrest IIa<\/td>\n<td>Vaso visible sin sangrado<\/td>\n<\/tr>\n<tr>\n<td>Forrest IIb<\/td>\n<td>Co\u00e1gulo adherido<\/td>\n<\/tr>\n<tr>\n<td>Forrest IIc<\/td>\n<td>Hematina pigmentada plana en la base de la \u00falcera<\/td>\n<\/tr>\n<tr>\n<td colspan=\"\\&quot;2\\&quot;\"><strong>Lesiones sin sangrado activo<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Forrest III<\/td>\n<td>\u00dalcera de base limpia<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Kim DS, Jung Y, Rhee HS, Lee SJ, Jo YG, Kim JH, Park JM, Chung IK, Cho YS, Lee TH, Park SH, Kim SJ. Usefulness of the Forrest Classification to Predict Artificial Ulcer Rebleeding during Second-Look Endoscopy after Endoscopic Submucosal Dissection. Clin Endosc. 2016 May;49(3):273-81. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26942581\/\" target=\"_blank\" rel=\"\\&quot;noopener noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Nelms DW, Pelaez CA. The Acute Upper Gastrointestinal Bleed.\u00c2 Surg Clin North Am. 2018 Oct;98(5):1047-1057. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30243446\/\" target=\"_blank\" rel=\"\\&quot;noopener noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Hatta W, Ogata Y, Chiba T, Tanno N, Kawabe M, Kayada K, Hatayama Y, Saito M, Imatani A, Koike T, Masamune A. Non-variceal upper gastrointestinal bleeding: advances and future directions in management. Clin Endosc. 2025 Dec 17. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41409024\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li style=\"list-style-type: none;\"><\/li>\n<\/ol>\n<p>Creado Dic, 04, 2019.<br \/>\nActualizado Ene 13, 2026.<\/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 clasificaci\u00f3n de Forrest es ampliamente utilizada en la hemorragia digestiva alta (HDA) relacionada con \u00falceras. Inicialmente se desarroll\u00f3 para unificar la descripci\u00f3n del sangrado por \u00falceras para una mejor comunicaci\u00f3n entre los endoscopistas. Sin embargo, la Clasificaci\u00f3n de Forrest ahora se usa como una herramienta para identificar a los pacientes que tienen un mayor [&hellip;]<\/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":[1197,2094,166,167,2095,1196,1195,2096,1563,368,1789,1198],"class_list":["post-5847","post","type-post","status-publish","format-standard","hentry","category-gastroenterology","tag-alta","tag-bleeding","tag-clasificacion","tag-classification","tag-forrest","tag-gastrointestinal","tag-hemorragia","tag-relacionado","tag-related","tag-ulcer","tag-ulceras","tag-upper"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/5847","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=5847"}],"version-history":[{"count":8,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/5847\/revisions"}],"predecessor-version":[{"id":10590,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/5847\/revisions\/10590"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=5847"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=5847"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=5847"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}