<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2341-4545</journal-id>
<journal-title><![CDATA[GE-Portuguese Journal of Gastroenterology]]></journal-title>
<abbrev-journal-title><![CDATA[GE Port J Gastroenterol]]></abbrev-journal-title>
<issn>2341-4545</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Gastrenterologia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2341-45452021000600392</article-id>
<article-id pub-id-type="doi">10.1159/000516139</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[The Current Portrayal of Non-Variceal Upper Gastrointestinal Bleeding in a Portuguese Tertiary Center]]></article-title>
<article-title xml:lang="pt"><![CDATA[O Retrato Atual Da Hemorragia Digestiva Alta NãoHipertensiva Num Centro Terciário Português]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Falcão]]></surname>
<given-names><![CDATA[Daniela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Joana Alves da]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guedes]]></surname>
<given-names><![CDATA[Tiago Pereira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garrido]]></surname>
<given-names><![CDATA[Mónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Novo]]></surname>
<given-names><![CDATA[Inês]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pedroto]]></surname>
<given-names><![CDATA[Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar Universitário do Porto Gastroenterology Department ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>28</volume>
<numero>6</numero>
<fpage>392</fpage>
<lpage>397</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2341-45452021000600392&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2341-45452021000600392&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2341-45452021000600392&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Non-variceal upper gastrointestinal bleeding (NVUGIB) is an important healthcare problem whose epidemiology and outcomes have been changing throughout the years. The main goal of this study was to characterize the current demographics, etiologies, and risk factors of NVUGIB.  Methods: Analysis of clinical, endoscopic, and outcome data from patients who were admitted for NVUGIB between January 2016 and January 2019 in an emergency department of a tertiary hospital center.  Results: A total of 522 patients were included, with a median age of 71 years, mainly men, with multiple comorbidities. Most patients were directly admitted, while the others were transferred from other hospitals. Peptic ulcer disease was the most common cause of NVUGIB and it was followed by tumor bleeding. Esophagogastroduodenoscopy was performed within &lt;12 h after hospital admission in 51.9%. In-hospital rebleeding occurred in 6.9% and overall mortality was 4.2%. Transferred patients had superior Glasgow-Blatchford score (GBS), required more blood transfusion, endoscopic and surgical interventions, and presented higher rebleeding rate, with similar mortality. Complete Rockall score (CRS) and GBS were predictors of endoscopic therapy. Surgery need was only related to CRS. Patients who rebled had superior pre-endoscopic Rockall score (RS), CRS, and GBS. Mortality was increased in patients with higher RS and CRS.  Discussion/Conclusion: Ageing and increasing comorbidities have not been related to worse outcomes in NVUGIB. These findings seem to be the consequence of the correct use of both diagnostic and therapeutic tools in an organized and widely accessible healthcare system.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  Hemorragia digestiva alta não-hipertensiva (HDANH) é um problema de saúde cuja epidemiologia e prognóstico têm-se alterado ao longo dos anos. O principal objetivo deste trabalho foi analisar a caracterização demográfica, etiologias e fatores de risco para HDANH.  Métodos: Análise de dados clínicos, endoscópicos e prognóstico de doentes admitidos por HDANH entre janeiro/2016 e janeiro/2019 no serviço de urgência de um hospital terciário.  Resultados: Foram incluídos 522 doentes, idade mediana de 71 anos, maioritariamente homens, com múltiplas comorbilidades. A maioria foi admitida diretamente, os restantes foram transferidos de outros hospitais. A doença-ulcerosa-péptica foi a causa mais frequente de HDANH, seguida pela etiologia neoplásica. Esofagogastroduodenoscopia foi realizada em menos de 12horas após admissão em 51.9%. Recidiva hemorrágica ocorreu em 6.9% e a taxa global de mortalidade foi 4.2%. Os doentes transferidos registaram um score Glasgow-Blatchford (GBS) superior, necessitaram mais frequentemente de transfusões, terapêutica endoscópica e cirúrgica, e apresentaram taxas superiores de recidiva hemorrágica, mas com mortalidade semelhante. O score Completo-Rockall (CRS) e o GBS foram preditores de terapêutica endoscópica. A necessidade de cirurgia esteve associada ao CRS. Os doentes com recidiva hemorrágica tiverem superiores score Rockall pre-endoscópico (RS), CRS e GBS. Mortalidade superior esteve associada a RS e CRS mais elevados.  Discussão/Conclusão: O envelhecimento e o aumento das comorbilidades não se associaram a piores outcomes na HDANH. Estes achados parecem ser consequência do uso adequado de ferramentas diagnósticas e terapêuticas num sistema de saúde organizado e amplamente acessível.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Endoscopic hemostasis]]></kwd>
<kwd lng="en"><![CDATA[Gastrointestinal hemorrhage]]></kwd>
<kwd lng="en"><![CDATA[Hematemesis]]></kwd>
<kwd lng="en"><![CDATA[Peptic ulcer hemorrhage]]></kwd>
<kwd lng="en"><![CDATA[Upper gastrointestinal tract]]></kwd>
<kwd lng="pt"><![CDATA[Hemostase endoscópica]]></kwd>
<kwd lng="pt"><![CDATA[Hemorragia gastrointestinal]]></kwd>
<kwd lng="pt"><![CDATA[Hematemeses]]></kwd>
<kwd lng="pt"><![CDATA[Hemorragia ulcerosa péptica]]></kwd>
<kwd lng="pt"><![CDATA[Trato gastrointestinal superior]]></kwd>
</kwd-group>
</article-meta>
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