Introduction : Upper gastrointestinal bleeding has an incidence of 100/100,000 per year and is one of the main causes of hospitalization in surgical services. UGB has a mortality of 6-10%, most cases due to peptic ulcer (80%). Au Mexique, l'information est rare. The objective was to identify morbidity and mortality in patients with UGB who required surgery and were treated at the "Hôpital de Haute Spécialité, Centro MA©dico Nacional d Occidente". Materials and Methods : A retrospective study was conducted. The information was analyszed in the statistical program SPSS v15 . Mesures de la tendance centrale et de la dispersion utilisées ; pour les variables catégoriques utilisées pour les pourcentages et pour les variables numériques avec SD ou médiane avec des gammes maximales et minimales. Résultats : 63 patients were included. There were 42 (67 %) men and the average age was 60.9 +/- 12.03 years. The average time from hospital arrival to the completion of the surgery was 71.6 +/- 4.7 hours, patients need 4.7 +/- 1.3 globular in average. The main cause of UGB was peptic ulcer in 50% of cases, and the main surgical procedure used was suture at the site of bleeding in 55% of cases. The most frequent hospital complication was hémodynamic instability in 89 %. We conclu that UGB that requires surgery is a medical emergency that endangers life since 89 % of patients have hémodynamic instability, in addition, the main cause is peptic ulcer that has solution in most cases by suture at the site of bleeding.

Introduction: Upper gastrointestinal bleeding has an incidence of 100/100,000 per year and is one of the main causes of hospitalization in surgical services. UGB has a mortality of 6-10%, most cases due to peptic ulcer (80%). In Mexico, information is scarce. The objective was to identify morbidity and mortality in patients with UGB who required surgery and were treated at the "Hospital de Alta Especialidad, Centro MA©dico Nacional d Occidente". Materials and Methods: A retrospective study was conducted. The information was analyzed in the statistical program SPSS v15 . Measures of central tendency and dispersion were used; for categorical variables we used percentages and for numerical variables means with SD or median with maximum and minimum ranges. Results: 63 patients were included. There were 42 (67%) men and the average age was 60.9 +/- 12.03 years. The average time from hospital arrival to the completion of the surgery was 71.6 +/- 4.7 hours, patients need 4.7 +/- 1.3 globular in average. The main cause of UGB was peptic ulcer in 50% of cases, and the main surgical procedure used was suture at the site of bleeding in 55% of cases. The most frequent hospital complication was hemodynamic instability in 89%. We conclude that UGB that requires surgery is a medical emergency that endangers life since 89% of patients have hemodynamic instability, in addition, the main cause is peptic ulcer that has solution in most cases by suture at the site of bleeding.

Introduction: Upper gastrointestinal bleeding has an incidence of 100/100,000 per year and is one of the main causes of hospitalization in surgical services. UGB has a mortality of 6-10%, most cases due to peptic ulcer (80%). In Mexico, information is scarce. The objective was to identify morbidity and mortality in patients with UGB who required surgery and were treated at the †œHigh Specialty Hospital, Centro MA©dico Nacional d Occidente". Materials and Methods: A retrospective study was conducted. The information was analyzed in the statistical program SPSS v15 . Measures of central tendency and dispersion were used; for categorical variables we used percentages and for numerical variables means with SD or median with maximum and minimum ranges. Results: 63 patients were included. There were 42 (67%) men and the average age was 60.9 +/- 12.03 years. The average time from hospital arrival to the completion of the surgery was 71.6 +/- 4.7 hours, patients needed 4.7 +/- 1.3 globular on average. The main cause of UGB was peptic ulcer in 50% of cases, and the main surgical procedure used was suture at the site of bleeding in 55% of cases. The most frequent hospital complication was hemodynamic instability in 89%. We conclude that UGB that requires surgery is a medical emergency that endangers life since 89% of patients have hemodynamic instability, in addition, the main cause is peptic ulcer that has solution in most cases by suture at the site of bleeding.

مقدمة: يبلغ معدل حدوث نزيف الجهاز الهضمي العلوي 100/100000 سنويًا وهو أحد الأسباب الرئيسية للاستشفاء في الخدمات الجراحية. يبلغ معدل وفيات التهاب القولون التقرحي 6-10 ٪، ومعظم الحالات بسبب القرحة الهضمية (80 ٪). في المكسيك، المعلومات شحيحة. كان الهدف هو تحديد الاعتلال والوفيات في المرضى الذين يعانون من التهاب القولون التقرحي والذين احتاجوا إلى جراحة وعولجوا في "مستشفى التخصص العالي، مركزماساتشوستس الوطني في الغرب". المواد والأساليب: تم إجراء دراسة بأثر رجعي. تم تحليل المعلومات في البرنامج الإحصائي SPSS v15 . تم استخدام مقاييس الاتجاه المركزي والتشتت ؛ بالنسبة للمتغيرات الفئوية، استخدمنا النسب المئوية والمتغيرات العددية مع SD أو الوسيط مع النطاقات القصوى والدنيا. النتائج: تم تضمين 63 مريضًا. كان هناك 42 رجلاً (67 ٪) وكان متوسط العمر 60.9 +/- 12.03 سنة. كان متوسط الوقت من وصول المستشفى إلى الانتهاء من الجراحة 71.6 +/- 4.7 ساعة، وكان المرضى بحاجة إلى 4.7 +/- 1.3 كروي في المتوسط. كان السبب الرئيسي لـ UGB هو القرحة الهضمية في 50 ٪ من الحالات، وكان الإجراء الجراحي الرئيسي المستخدم هو الخياطة في موقع النزيف في 55 ٪ من الحالات. كانت المضاعفات الأكثر شيوعًا في المستشفى هي عدم استقرار الدورة الدموية في 89 ٪. نستنتج أن UGB الذي يتطلب الجراحة هو حالة طبية طارئة تعرض الحياة للخطر لأن 89 ٪ من المرضى يعانون من عدم استقرار الدورة الدموية، بالإضافة إلى أن السبب الرئيسي هو القرحة الهضمية التي لها حل في معظم الحالات عن طريق الخياطة في موقع النزيف.