{"id":19379,"date":"2025-10-28T07:22:00","date_gmt":"2025-10-28T07:22:00","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/es\/?p=19379"},"modified":"2025-10-28T20:00:49","modified_gmt":"2025-10-28T20:00:49","slug":"terapia-endoscopica-de-vacio-tev-para-el-tratamiento-de-la-hemorragia-digestiva-alta-no-varicosa","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/es\/temas-generales\/terapia-endoscopica-de-vacio-tev-para-el-tratamiento-de-la-hemorragia-digestiva-alta-no-varicosa\/","title":{"rendered":"Terapia Endosc\u00f3pica de Vac\u00edo (TEV) para el Tratamiento de la Hemorragia Digestiva Alta No Varicosa"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>1. Introducci\u00f3n<\/strong><\/h2>\n\n\n\n<p>La <strong>hemorragia digestiva alta (HDA) no varicosa<\/strong> es una afecci\u00f3n frecuente en la pr\u00e1ctica cl\u00ednica y representa uno de los dos principales retos para los endoscopistas [1].<\/p>\n\n\n\n<p>Las terapias endosc\u00f3picas convencionales, como la <strong>mec\u00e1nica<\/strong> (ligadura con clip met\u00e1lico o banda el\u00e1stica), <strong>la inyecci\u00f3n y la t\u00e9rmica<\/strong>, logran la hemostasia inicial en el <strong>90 % de los casos<\/strong> [2]. Sin embargo, a\u00fan existen situaciones en las que la hemostasia no es completa o se produce un resangrado tras el control inicial.<\/p>\n\n\n\n<p>Los casos m\u00e1s complejos incluyen:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00dalceras gigantes con fibrosis intensa;<\/li>\n\n\n\n<li>Hemorragia mucosa difusa;<\/li>\n\n\n\n<li>Hemorragia por isquemia;<\/li>\n\n\n\n<li>Hemorragia por lesiones malignas.<\/li>\n<\/ul>\n\n\n\n<p>Dispositivos como el clip sobre el endoscopio (<em><strong>over-the-scope<\/strong><\/em><strong> &#8211; OTSC<\/strong>) y el clip hemost\u00e1tico pueden ser \u00fatiles, pero presentan limitaciones: baja disponibilidad, alta tasa de resangrado (hasta un 26,1 %), como el clip hemost\u00e1tico [3], y dificultades t\u00e9cnicas con OVESCO en zonas difusas o de dif\u00edcil localizaci\u00f3n.<\/p>\n\n\n\n<p>La <strong>terapia endosc\u00f3pica de vac\u00edo (TEV),<\/strong> ya consolidada en el tratamiento de <strong>defectos y f\u00edstulas del tracto gastrointestinal <\/strong>[4-6], se ha convertido en una opci\u00f3n prometedora para el control de la HDA no varicosa. Sus mecanismos de acci\u00f3n incluyen:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Micro y macro deformaci\u00f3n del tejido;<\/li>\n\n\n\n<li>Estimulaci\u00f3n de la angiog\u00e9nesis;<\/li>\n\n\n\n<li>Mejora de la perfusi\u00f3n local;<\/li>\n\n\n\n<li>Eliminaci\u00f3n de exudados y secreciones;<\/li>\n\n\n\n<li>Proliferaci\u00f3n celular y formaci\u00f3n de tejido de granulaci\u00f3n.<\/li>\n<\/ul>\n\n\n\n<p><br>En 2022, <strong>Moura et al.<\/strong> [7] publicaron una serie de tres casos con excelentes resultados para el control de <strong>hemorragia duodenal difusa en pacientes cr\u00edticos con COVID-19<\/strong>. M\u00e1s recientemente, el mismo gran grupo amplio esa experiencia public\u00f3 una serie de 19 casos de HDA no varicosa tratados con TVP [8].<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><a href=\"https:\/\/endoscopiaterapeutica.net\/es\/?attachment_id=19380\"><img fetchpriority=\"high\" decoding=\"async\" width=\"306\" height=\"205\" src=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/figura-1-1.png\" alt=\"\" class=\"wp-image-19380\" style=\"width:706px;height:auto\" srcset=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/figura-1-1.png 306w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/figura-1-1-300x201.png 300w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/figura-1-1-263x175.png 263w\" sizes=\"(max-width: 306px) 100vw, 306px\" \/><\/a><figcaption class=\"wp-element-caption\"><br><strong>Figura 1 Adaptado de Moura et al (7): Sangrado duodenal difuso en pacientes con COVID-19 antes y despu\u00e9s del tratamiento endosc\u00f3pico al vac\u00edo<\/strong><\/figcaption><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\"><strong>2. Serie de casos &#8211; Mega et al. (resumen)<\/strong><\/h2>\n\n\n\n<p>Mega et al. (8) publicar\u00e1n una serie de<strong> 19 pacientes <\/strong>tratados con TEV por HDA no varicosa entre 2021 y 2024, tanto como <strong>terapia primaria como de terapia de rescate.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Resultado primario: <\/strong>evento cl\u00ednico (hemostasia inicial + ausencia de resangrado en 30 d\u00edas).<\/li>\n\n\n\n<li><strong>Etiolog\u00edas:<\/strong>\n<ul class=\"wp-block-list\">\n<li>hemorragia duodenal difusa relacionada con COVID-19 (42,1% \u2013 8 casos);<\/li>\n\n\n\n<li>\u00falcera p\u00e9ptica g\u00e1strica (2 casos);<\/li>\n\n\n\n<li>\u00falcera act\u00ednica (2 casos);<\/li>\n\n\n\n<li>\u00falcera g\u00e1strica tras ablaci\u00f3n con arg\u00f3n plasma para EAV (1 caso);<\/li>\n\n\n\n<li>esofagitis erosiva grave (1 caso);<\/li>\n\n\n\n<li>\u00falcera g\u00e1strica grave pospancreatitis (1 caso);<\/li>\n\n\n\n<li>\u00falcera relacionada con el uso de AINEs (1 caso);<\/li>\n\n\n\n<li>\u00falcera neopl\u00e1sica (1 caso);<\/li>\n\n\n\n<li>\u00falcera duodenal isqu\u00e9mica tras hepatectom\u00eda (1 caso);<\/li>\n\n\n\n<li>\u00falcera marginal en la anastomosis gastroyeyunal tras gastroplastia (1 caso).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><br>En <strong>11 pacientes (57,9%), <\/strong>la TEV se utiliz\u00f3 como<strong> tratamiento de rescate <\/strong>y en<strong> 8 (42,1%) <\/strong>como<strong> tratamiento primario. <\/strong>La duraci\u00f3n media del tratamiento fue de<strong> 11 d\u00edas (4 a 18), <\/strong>con dos sesiones de revisi\u00f3n y reemplazo del sistema.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Resultados:<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00c9xito cl\u00ednico en el<strong> 89,5% de los casos en dos casos (17\/19).<\/strong><\/li>\n\n\n\n<li>Solo 2 resangrados en 30 d\u00edas.<\/li>\n\n\n\n<li>Sin eventos adversos relacionados con la TEV.<\/li>\n\n\n\n<li>Tasa de mortalidad del<strong> 36,8% (7\/19), <\/strong>no relacionada directamente con el sangrado.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>3. Caso Cl\u00ednico<\/strong><\/h2>\n\n\n\n<p>En una publicaci\u00f3n reciente [9], informamos del caso de un<strong> hombre de 42 a\u00f1os, <\/strong>v\u00edctima de<strong> quemaduras graves con lesi\u00f3n de la v\u00eda a\u00e9rea, <\/strong>que evoluciono con inestabilidad cl\u00ednica e insuficiencia renal, requiriendo intubaci\u00f3n orotraqueal y uso de f\u00e1rmacos vasoactivos<strong>.<\/strong><\/p>\n\n\n\n<p>Al octavo d\u00eda de hospitalizaci\u00f3n, desarroll\u00f3<strong> melena e inestabilidad hemodin\u00e1mica<\/strong>. La endoscopia <strong>revel\u00f3 mucosa g\u00e1strica friable, m\u00faltiples ulceraciones, co\u00e1gulos y \u00e1reas de necrosis, <\/strong>especialmente en el fondo g\u00e1strico. No fue posible la terapia endosc\u00f3pica.<\/p>\n\n\n\n<p>Durante los diez d\u00edas siguientes:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Continu\u00f3 presentando melena y requiri\u00f3 transfusiones diarias (1-2 transfusiones\/d\u00eda);<\/li>\n\n\n\n<li>Dos nuevas endoscopias mostraron hallazgos similares, sin posibilidad de terapia endosc\u00f3pica (polvo hemost\u00e1tico no disponible en el centro) (figura 1);<\/li>\n\n\n\n<li>La tomograf\u00eda computarizada revel\u00f3<strong> neumatosis g\u00e1strica sin perforaci\u00f3n <\/strong>(figura 1);<\/li>\n\n\n\n<li>La arteriograf\u00eda mostr\u00f3 <strong>estenosis del tronco cel\u00edaco, <\/strong>compatible con<strong> s\u00edndrome del ligamento arcuato medio <\/strong>(figura 1), justificando isquemia g\u00e1strica.<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><a href=\"https:\/\/endoscopiaterapeutica.net\/es\/?attachment_id=19381\"><img decoding=\"async\" width=\"1024\" height=\"549\" src=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-2-1024x549.png\" alt=\"\" class=\"wp-image-19381\" srcset=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-2-1024x549.png 1024w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-2-300x161.png 300w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-2-768x412.png 768w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-2-1536x824.png 1536w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-2-1170x627.png 1170w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-2-585x314.png 585w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-2.png 1876w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption class=\"wp-element-caption\"><br><strong>Figura 2. Adaptado de Dall\u2019Agnol et al. (9):<\/strong><br><strong>A: Tomograf\u00eda abdominal que muestra neumatosis de la pared g\u00e1strica (flechas).<\/strong><br><strong>B: Angiograf\u00eda por TC que muestra estenosis del tronco cel\u00edaco (flecha).<\/strong><br><strong>C: Arteriograf\u00eda que confirma la estenosis del tronco cel\u00edaco (flecha).<\/strong><br><strong>D: Ulceraciones extensas y tejido necr\u00f3tico con sangrado difuso en el cuerpo g\u00e1strico.<\/strong><br><strong>E: Tejido necr\u00f3tico extenso en el fundus g\u00e1strico.<\/strong><br><strong>F: Paso del tubo de terapia endosc\u00f3pica de vac\u00edo (1.\u00aa sesi\u00f3n).<\/strong><\/figcaption><\/figure>\n<\/div>\n\n\n<p><br>Dada la imposibilidad de las terapias endosc\u00f3picas convencionales y el alto riesgo quir\u00fargico, se indic\u00f3 una <strong>TEV intrag\u00e1strica<\/strong> para hemostasia, mejora de la perfusi\u00f3n y reparaci\u00f3n de la mucosa (Figura 1).<\/p>\n\n\n\n<p><strong>Evoluci\u00f3n:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>En las primeras 48 horas: solo se requiri\u00f3 1 concentrado de sangre; drenaje serosanguinolento.<\/li>\n\n\n\n<li>Despu\u00e9s de 48 horas: el drenaje se volvi\u00f3 seroso, sin necesidad de transfusiones adicionales.<\/li>\n\n\n\n<li>El TEV se cambi\u00f3 semanalmente durante 21 d\u00edas (figuras 2 y 3).<\/li>\n\n\n\n<li>Se observ\u00f3 resoluci\u00f3n completa de las \u00e1reas de necrosis y ulceraci\u00f3n (figuras 2 y 3).<\/li>\n\n\n\n<li>El paciente no present\u00f3 m\u00e1s sangrado ni requiri\u00f3 transfusiones, aunque posteriormente falleci\u00f3 por complicaciones pulmonares.<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><a href=\"https:\/\/endoscopiaterapeutica.net\/es\/?attachment_id=19382\"><img decoding=\"async\" width=\"1024\" height=\"549\" src=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-3-1024x549.png\" alt=\"\" class=\"wp-image-19382\" srcset=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-3-1024x549.png 1024w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-3-300x161.png 300w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-3-768x412.png 768w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-3-1536x824.png 1536w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-3-1170x627.png 1170w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-3-585x314.png 585w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-3.png 1876w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption class=\"wp-element-caption\"><br><strong>Figura 3. Adaptado de Dall\u2019Agnol et al. (9):<\/strong><br><strong>A-C: 7 d\u00edas de TEV<\/strong><br><strong>D-F: 14 d\u00edas de TEV<\/strong><br><br><br><\/figcaption><\/figure>\n<\/div>\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/endoscopiaterapeutica.net\/es\/?attachment_id=19383\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"572\" src=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-4-1024x572.png\" alt=\"\" class=\"wp-image-19383\" srcset=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-4-1024x572.png 1024w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-4-300x167.png 300w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-4-768x429.png 768w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-4-1536x857.png 1536w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-4-1170x653.png 1170w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-4-585x327.png 585w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2025\/10\/FIGURA-4.png 1906w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption class=\"wp-element-caption\"><br><strong>Figura 4. Adaptado de Dall\u2019Agnol et al. (9):<\/strong><br><strong>A-C: 21 d\u00edas de TEV<\/strong><br><strong>D-F: 1 semana despu\u00e9s de la finalizaci\u00f3n de la TEV<\/strong><\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>4. Conclusi\u00f3n<\/strong><\/h2>\n\n\n\n<p>La<strong> terapia endosc\u00f3pica de vac\u00edo <\/strong>debe considerarse como una <strong>opci\u00f3n terap\u00e9utica en casos de HDA no varicosa, <\/strong>especialmente en situaciones dif\u00edciles:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>sangrado difuso,<\/li>\n\n\n\n<li>isquemia,<\/li>\n\n\n\n<li>fracaso de las terapias endosc\u00f3picas convencionales.<\/li>\n<\/ul>\n\n\n\n<p>A pesar de la falta de<strong> estudios prospectivos s\u00f3lidos, <\/strong>la <strong>justificaci\u00f3n fisiopatol\u00f3gica <\/strong>y los resultados de series de casos demuestran tasas de \u00e9xito cercanas al 90%, con un control hemost\u00e1tico persistente y una buena recuperaci\u00f3n tisular.<\/p>\n\n\n\n<p>Por lo tanto,<strong> la terapia endosc\u00f3pica de vac\u00edo (TEV) se perfila como una opci\u00f3n prometedora y segura<\/strong>, especialmente como terapia de rescate en entornos de dif\u00edcil manejo.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Referencias<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Oakland, Kathryn. \u201cChanging epidemiology and etiology of upper and lower gastrointestinal bleeding.\u201d Best practice &amp; research. Clinical gastroenterology vol. 42-43 (2019): 101610. doi:10.1016\/j.bpg.2019.04.003<\/li>\n\n\n\n<li>Van Dam, J, and W R Brugge. \u201cEndoscopy of the upper gastrointestinal tract.\u201d The New England journal of medicine vol. 341,23 (1999): 1738-48. doi:10.1056\/NEJM199912023412306<\/li>\n\n\n\n<li>de Rezende DT, Brunaldi VO, Bernardo WM et al. Use of hemostatic powder in treatment of upper gastrointestinal bleeding: a systematic review and meta-analysis. Endosc Int Open. 2019 Dec;7(12):E1704- E1713. doi: 10.1055\/a-0977-2897.<\/li>\n\n\n\n<li>do Monte Junior, Epifanio Silvino et al. \u201cEndoscopic vacuum therapy versus endoscopic stenting for upper gastrointestinal transmural defects: Systematic review and meta-analysis.\u201d Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society vol. 33,6 (2021): 892-902. doi:10.1111\/den.13813<\/li>\n\n\n\n<li>Luttikhold, Joanna et al. \u201cEndoscopic vacuum therapy for esophageal perforation: a multicenter retrospective cohort study.\u201d Endoscopy vol. 55,9 (2023): 859-864. doi:10.1055\/a-2042-6707<\/li>\n\n\n\n<li>Loske, Gunnar, and Christian M\u00fcller. \u201cEndoscopic vacuum-assisted closure of upper intestinal anastomotic leaks.\u201d Gastrointestinal endoscopy vol. 69,3 Pt 1 (2009): 601-2; author reply 602. doi:10.1016\/j.gie.2008.06.058<\/li>\n\n\n\n<li>de Moura, Diogo T H et al. \u201cEndoscopic Vacuum Therapy for Duodenal Hemorrhage in Critically Ill Patients With COVID-19.\u201d The American journal of gastroenterology vol. 117,4 (2022): 688. doi:10.14309\/ajg.0000000000001643<\/li>\n\n\n\n<li>Mega, Paulo Ferreira et al. \u201cEndoscopic vacuum therapy for the management of nonvariceal upper gastrointestinal bleeding: a valuable resource for the endoscopist&#8217;s toolbox.\u201d Endoscopy vol. 57,8 (2025): 883-889. doi:10.1055\/a-2544-6448<\/li>\n\n\n\n<li>Dall\u2019Agnol, Marcelo Klotz et al. \u201cSuccessful Endoscopic Vacuum Therapy in Diffuse Gastric Hemorrhage Secondary to Acute Ischemia: A Case Report\u201d. iGIE, 2025, ISSN 2949-7086, https:\/\/doi.org\/10.1016\/j.igie.2025.10.001.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>C\u00f3mo citar este art\u00edculo<\/strong><\/h2>\n\n\n\n<p class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\">Proen\u00e7a IM, Penaloza CSQ. Terapia Endosc\u00f3pica de Vac\u00edo (TEV) para el Tratamiento de la Hemorragia Digestiva Alta No Varicosa. Endoscopia Terap\u00e9utica 2025, Vol II. Disponible en: <a href=\"https:\/\/endoscopiaterapeutica.net\/es\/?p=19379\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/endoscopiaterapeutica.net\/es\/temas-generales\/terapia-endoscopica-de-vacio-tev-para-el-tratamiento-de-la-hemorragia-digestiva-alta-no-varicosa\/<\/a><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>1. Introducci\u00f3n La hemorragia digestiva alta (HDA) no varicosa es una afecci\u00f3n frecuente en&hellip;<\/p>\n","protected":false},"author":6146,"featured_media":19381,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[],"ano":[750],"tipo":[153],"volume":[147],"class_list":["post-19379","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-temas-generales","ano-750","tipo-endoscopia-digestiva-superior","volume-volumen-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Terapia Endosc\u00f3pica de Vac\u00edo (TEV) para el Tratamiento de la Hemorragia Digestiva Alta No Varicosa &#8226; Endoscopia Terapeutica<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/endoscopiaterapeutica.net\/es\/temas-generales\/terapia-endoscopica-de-vacio-tev-para-el-tratamiento-de-la-hemorragia-digestiva-alta-no-varicosa\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Terapia Endosc\u00f3pica de Vac\u00edo (TEV) para el Tratamiento de la Hemorragia Digestiva Alta No Varicosa\" \/>\n<meta property=\"og:description\" content=\"1. 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