INCIDENCE OF UPPER GASTROINTESTINAL BLEEDING IN PEDIATRIC PATIENTES AFTER THE USE OF NON-STEROIDAL ANTI-INFLAMMATORY DRUGS

• Autor(a) principal: Silva, Sara dos Santos Carolino
• Data de Publicação: 2023
• Outros Autores: Lorencini, Victor Salarolli, Lopes , Ryan Nogueira, Ribeiro , Júlia Gomes, Cabellino, Luiza Fricks, Souza , Gabriel Lopes Marcondes De, Fim , Gustavo Marques, Chiecon, Luiza Pilon, Silveira , Sara Zambon, Gava , Fernanda Dardengo, Fachin, Leticia Castelioni, Reis , Isabela Machado dos
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Brazilian Journal of Implantology and Health Sciences
• Texto Completo: https://bjihs.emnuvens.com.br/bjihs/article/view/664
• topic: hemorragia. Alta. Pediátrica. Anti-inflamatório.; bleeding. High. Pediatric. Anti-inflammatory.

INTRODUCTION: Upper Gastrointestinal Bleeding (OGH) in children is a clinical condition in which its causes are rarely reported in the literature, but studies demonstrate a correlation between prolonged or continuous use of non-steroidal anti-inflammatory drugs (NSAIDs) and the incidence of cases in pediatrics. OBJECTIVES: The present study seeks to analyze, through a bibliographic review, more in-depth studies and analyzes on the prolonged use of NSAIDs and the incidence of HGA in underage patients. METHODOLOGY: Bibliographic review carried out from June to July 2023. Literature searches were carried out in the PubMed and Scientific Electronic Library Online (SciELO) databases. 238 articles were found and after applying inclusion and exclusion criteria, 18 articles were selected to form the collection. RESULTS: The different studies analyzed demonstrate that although NSAIDs are predictors of damage to the gastric mucosa, they tend to play an indirect role in causing Upper Gastrointestinal hemorrhage. In this sense, in the majority of cases studied, patients have another risk factor for this complication - given a pre-existing intestinal injury, correlated with self-medication, especially medication administration without the correct dosage by parents/guardians. CONCLUSION: The mechanism of injury caused by NSAIDs is already known, however, there are still disagreements on the subject in question. It is essential that parents or guardians pay attention to the ideal dosage prescribed by doctors, respecting the medication administration interval, thus avoiding its irregular use and, therefore, its more vigorous consequences on the NSAID and HGA correlation in children, since which are highly complex cases and may require urgent care and hospitalization.