Diagnóstico y tratamiento de las várices esófago gástricas en Chile: Realidad nacional

Background: The better treatment modalities for bleeding esophageal varices have improved the prognosis of cirrhosis. Aim: To inquire about diagnostic and treatment modalities for esophageal bleeding in Chile. Material and methods: An enquiry about diagnosis and treatment of esophageal bleeding was...

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Autores principales:	Vargas T,Ling, Ovalle A,Loreto, Morales O,Ximena, Agar F,Solange, Estay O,René, Soto H,Juan Ramón, Armas M,Rodolfo, Vergara A,María Teresa, Nazal S,Roberto
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2008
Materias:	Cyanoacrylates Esophageal and gastric varices Gastrointestinal hemorrhage
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000700003
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spelling	oai:scielo:S0034-988720080007000032008-09-04Diagnóstico y tratamiento de las várices esófago gástricas en Chile: Realidad nacionalVargas T,LingOvalle A,LoretoMorales O,XimenaAgar F,SolangeEstay O,RenéSoto H,Juan RamónArmas M,RodolfoVergara A,María TeresaNazal S,Roberto Cyanoacrylates Esophageal and gastric varices Gastrointestinal hemorrhage Background: The better treatment modalities for bleeding esophageal varices have improved the prognosis of cirrhosis. Aim: To inquire about diagnostic and treatment modalities for esophageal bleeding in Chile. Material and methods: An enquiry about diagnosis and treatment of esophageal bleeding was designed and electronically sent to public and prívate health institutions that could admit patients and were located in cides with more than 100,000 inhabitants. Results: The enquiry was answered by 31 of 35 public and 17 of 19 prívate health institutionis that were consulted. Emergency endoscopy was available in 6 of 27 public and in the 16 private institutionis that had an emergency room. Rubber band ¡igation was available in 16 public (52%) and in all prívate institutions. Cyanoacrylate injections were done in 10 public (32%) and 11 (65%) prívate institutions. No public institution instaUed transjugular intrahepatic portosystemic shunts, but 8 had occasional access to this technique. This procedure was done in 7 (41%) private institutions and all had access to it. Surgical treatment was feasible in 20 public (65%) and all prívate institutions. Prímary prophylaxis was done in 18 public (58%) and 14 prívate (82%) institutions. Secondary prophylaxis was carried out in 26 public (84%) and 16 prívate (94%) institutions. Conclusions: Public health institutions have poor access to adequate diagnostic and treatment methods for esophageal bleeding. The prímary and secondary prophylaxis of esophageal varices must be improved in both types of institutionsinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.136 n.7 20082008-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000700003es10.4067/S0034-98872008000700003
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Cyanoacrylates Esophageal and gastric varices Gastrointestinal hemorrhage
spellingShingle	Cyanoacrylates Esophageal and gastric varices Gastrointestinal hemorrhage Vargas T,Ling Ovalle A,Loreto Morales O,Ximena Agar F,Solange Estay O,René Soto H,Juan Ramón Armas M,Rodolfo Vergara A,María Teresa Nazal S,Roberto Diagnóstico y tratamiento de las várices esófago gástricas en Chile: Realidad nacional
description	Background: The better treatment modalities for bleeding esophageal varices have improved the prognosis of cirrhosis. Aim: To inquire about diagnostic and treatment modalities for esophageal bleeding in Chile. Material and methods: An enquiry about diagnosis and treatment of esophageal bleeding was designed and electronically sent to public and prívate health institutions that could admit patients and were located in cides with more than 100,000 inhabitants. Results: The enquiry was answered by 31 of 35 public and 17 of 19 prívate health institutionis that were consulted. Emergency endoscopy was available in 6 of 27 public and in the 16 private institutionis that had an emergency room. Rubber band ¡igation was available in 16 public (52%) and in all prívate institutions. Cyanoacrylate injections were done in 10 public (32%) and 11 (65%) prívate institutions. No public institution instaUed transjugular intrahepatic portosystemic shunts, but 8 had occasional access to this technique. This procedure was done in 7 (41%) private institutions and all had access to it. Surgical treatment was feasible in 20 public (65%) and all prívate institutions. Prímary prophylaxis was done in 18 public (58%) and 14 prívate (82%) institutions. Secondary prophylaxis was carried out in 26 public (84%) and 16 prívate (94%) institutions. Conclusions: Public health institutions have poor access to adequate diagnostic and treatment methods for esophageal bleeding. The prímary and secondary prophylaxis of esophageal varices must be improved in both types of institutions
author	Vargas T,Ling Ovalle A,Loreto Morales O,Ximena Agar F,Solange Estay O,René Soto H,Juan Ramón Armas M,Rodolfo Vergara A,María Teresa Nazal S,Roberto
author_facet	Vargas T,Ling Ovalle A,Loreto Morales O,Ximena Agar F,Solange Estay O,René Soto H,Juan Ramón Armas M,Rodolfo Vergara A,María Teresa Nazal S,Roberto
author_sort	Vargas T,Ling
title	Diagnóstico y tratamiento de las várices esófago gástricas en Chile: Realidad nacional
title_short	Diagnóstico y tratamiento de las várices esófago gástricas en Chile: Realidad nacional
title_full	Diagnóstico y tratamiento de las várices esófago gástricas en Chile: Realidad nacional
title_fullStr	Diagnóstico y tratamiento de las várices esófago gástricas en Chile: Realidad nacional
title_full_unstemmed	Diagnóstico y tratamiento de las várices esófago gástricas en Chile: Realidad nacional
title_sort	diagnóstico y tratamiento de las várices esófago gástricas en chile: realidad nacional
publisher	Sociedad Médica de Santiago
publishDate	2008
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000700003
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Diagnóstico y tratamiento de las várices esófago gástricas en Chile: Realidad nacional

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