Jeanny Dwi Adriyanti

KOMPLIKASI ,
PROGNOSA
UGB (UPPER GIT
BLEEDING)

Komplikasi (bila tak tertangani)

- Syok hipovolemik
- Koma ensefalopati hepatikum
- GGA

Komplikasi

complications can arise from treatments administered

- for example:
Endoscopy:
Aspiration pneumonia
Perforation.
Complications from coagulation, laser treatments.

Surgery:
Ileus.
Sepsis.
Wound problems.

Salvage surgery for patients who continue to bleed is

associated with a high mortality.

Prognosis

Elderly patients and people with chronic medical conditions

withstand acute UGIB less well and have a higher risk of
death.[2]
Mortalitas pasien UGB 7%
< 3 excellent prognosis
> 8 \high mortality.
Faktor resiko kematian :
usia: < 40 tahun jarang.
30% pasien usia >90 tahun meninggal akibat UGB
Comorbidity: complications are more likely with comorbid
disease.
Shock: munculnya tanda shock prognosis buruk

Prognosa

Diagnosis and Management of Upper Gastrointestinal Bleeding

THAD WILKINS, MD; NAIMAN KHAN, MD; AKASH NABH, MD; and ROBERT R. SCHADE, MDGeorgia
Health Sciences University, Augusta, Georgia

Diagnosis and Management of Upper Gastrointestinal Bleeding

THAD WILKINS, MD; NAIMAN KHAN, MD; AKASH NABH, MD; and ROBERT R. SCHADE, MDGeorgia
Health Sciences University, Augusta, Georgia

Scoring of Rockall Score

Score
<2
3-7
>8

Interpretation
Low risk
Moderate risk
High risk

Management and Prevention of Upper GI

Bleeding
By Jiwon Kim, Pharm.D., BCPS, FCSHP

After endocsopic finding - high risk - for example:

Mallory-Weiss tears or clean ulcers have a low risk of

re-bleeding and death.

Active bleeding in a shocked patient carries an 80%
risk of re-bleeding or death.
Non-bleeding but visible vessel has a 50% risk of rebleeding.

The prognosis in liver disease relates significantly

to the severity of the liver disease rather than to
the magnitude of the haemorrhage.

RUJUK

hemodynamic tidak stabil, syok,

perubahan status mental, volume loss
ICU
Gagal terapi standard Surgeon
Cardiac ischaemic and infaarction
Cardiologist