Abordagem da hemorragia digestiva em crianças e adolescentes

Abstract

The term gastrointestinal bleeding includes bleeding from both the upper digestive tract with location above the Treitz angle, called the upper gastrointestinal bleeding (UGB), as the source below Treitz- angle lower gastrointestinal bleeding (LGB). In most cases the expectant observational approach is advocated, based on history and detailed physical examination. The classification by age and clinical status, both as to UGB and LGB, are the most used today. The initial approach for cases of gastrointestinal bleeding, both high as low, aims hemodynamic stabilization of the patient, and according to the site of bleeding other propaedeutic and therapeutic options are performed. Unlike to that in adults, the frames of gastrointestinal bleeding in children have low morbidity and mortality rates, due to the absence of comorbidities, as well as a better haemodynamic response to gastrointestinal bleeding. The purpose of this article is to help the systemized care to patients with gastrointestinal hemorrhage.