Abstract

JENSEN BALCAZAR, Ivar Mauricio; PADILLA BARBA, Patricia  and  RUEDA, Elizabeth. FRECUENCIA DE PRESENTACIÓN DE LESIONES VASCULARES EN EL TUBO DIGESTIVO ALTO I.G.B.J. (1979 - 2004). Gac Med Bol [online]. 2005, vol.28, n.1, pp.8-15. ISSN 1012-2966.

The present work, is a revisión of retrospective of the high endoscópicos studies made in the I.G.B.J., the included/understood period of January of 1979 to December of 2005, including the diagnoses of malformations or injuries vasculares of the superior alimentary canal. The malformations vasculares of high the alimentary canal are seated injuries on the intestinal mucosa, these can appear of hereditary form like telangiectasia hereditary relative, of acquired form, like sequel of x-ray, and sporadic form generally in age patients outpost like in the primary malformations vasculares (ectasias vasculares, angiodisplasia, disease of Dieulafoy). They are frequent cause of high and low digestive hemorrhage in greater of 60 years. Detected in the 5-8% of gastroscopías made, being cause from the 2.1 to 8% of high the digestive hemorrhages. Our objective is to determine the presentation frequency, its relation with factors like age, sex, morbimortalidad, treatment and evolution. A total of 40,714 endoscópicos studies was reviewed of which 31,633 (77.7%) correspond to high endoscopias. Of the total of studies, one was 99 patients with diagnosis of injury or vascular malformation what corresponds to the 0.31%. The vascular malformation is a pathological organization diagnosed most frequently the last years, with an incidence in relation to high the digestive hemorrhage of 2,43%. The malformations vasculares in the superior alimentary canal are more frequent in the stomach (76,76%) followed of esophagus and duodeno. The vascular injury of Dieulafoy is the most frequent malformation (55,55%) and its relation with the H.D.A. it is of the 100%. The treatment is based practically on the handling of the H.D.A. using endoscopía therapeutic like safe and effective method.

Keywords : Vascular malformation; upper digest tube hemorrage.

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