Abstract
Critically ill patients are at risk for stress ulcers in the upper digestive tract. Various risk factors have been associated with this condition. Patients who are critically ill are at risk of bleeding due to stress related mucosal disease (SRMD). Upper gastrointestinal tract problems usually occur as a result of severe physiological stress. Patients may develop gastric erosion and develop stress ulcers with severe gastrointestinal bleeding which can be fatal. Routine pharmacological use of stress ulcer prophylaxis (SUP) does not reduce overall mortality in intensive care patients. This increases the risk of infectious complications, particularly nosocomial pneumonia and Clostridium difficile-associated diarrhea. Early enteral nutrition has been shown to be effective in preventing stress ulceration of the upper gastrointestinal tract in critically ill patients. Routine use of stress ulcer prophylaxis in all critically ill patients may be dangerous and does not appear to be cost-effective. SUP administration must follow an algorithm that clearly balances risks and benefits.
Highlights
ABSTRAK faktor risiko telah dikaitkan dengan kondisi ini
Upper gastrointestinal tract problems usually occur as 3 Patients may experience gastric erosion and develop into stress ulcer
Stress ulcers usually occur in the fundus and body of the stomach, but sometimes develop in the antrum, after upper gastrointestinal bleeding, an increase in within 24 hours or requires transfusion of 2 units of Stress related mucosal bleeding (SRMD) is a broad term used to describe a spectrum of pathologies associated with acute conditions, erosions, and upper gastrointestinal bleeding can cause anemia, real gastrointestinal bleeding erode into the submucosa and cause massive bleeding
Summary
1,12 Clinically important bleeding is usually with gastrointestinal bleeding were first described 1 Patients who are critically ill are at risk of. Upper gastrointestinal tract bleeding (esophagus, stomach, or duodenum) when it is the cause of complicates hospitalization for patients who have been 5 The reported incidence of stress-related mucosal damage. Stress ulcers usually occur in the fundus and body of the stomach, but sometimes develop in the antrum, after upper gastrointestinal bleeding, an increase in within 24 hours or requires transfusion of 2 units of. Today polypharmacy is becoming more prevalent with advances in pharmaceutical science and development stress-related within 24 hours after admission to the 1,12 These lesions are generally submucosa and muscularis propria and cause erosion of the larger vessels openly and cause clinically. There are various types of bleeding that can occur in the upper gastrointestinal tract, such as occult bleeding, overt bleeding and clinically important bleeding
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