HEMORRAGIA DIGESTIVA ALTA

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  HEMORRAGIA DIGESTIVA ALTA
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  Se define como aquella que se srcina en algún punto entre el EES y el ángulo de Treitz.  Corresponde al sangrado del esófago, estómago y duodeno.  ES UNA URGENCIA GRAVE.   HEMATEMESIS:  Sangre fresca rutilante  rojo oscuro o en “ poo de café”  MELENA: deposición de color negro brillante, pegajosas, pastosa y mal oliente. Sangrado mínimo 50-100ml y permanencia en TGI > 8hs (por oxidación)  HEMATOQUECIA: indica HDA masiva (>1lts. en <1hs). Generalmente indica HDB   Úlcera péptica  Duodenal (+ frecuente – 70%)  Gástrica  Várices esofágicas (+ grave)  Lesiones agudas de la mucosa GD  Esofagitis  Sme. de Mallory-Weiss  Neoplasias  Angiodisplasias
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