P-22 UNCOVERING INSIGHTS ON ACUTE VARICEAL HEMORRHAGE: A CROSS- COUNTRY SURVEY STUDY ON THE MANAGEMENT OF UPPER GASTROINTESTINAL BLEEDING IN LATIN AMERICA

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Limited information exists regarding AVH management in Latin America (LATAM). This study aimed to gather data on AVH management and resource availability across LATAM. The goal was to bridge the knowledge gap, enhance medical attention, and optimize specialized care for patients with AVH in the region. Materials and MethodsA survey was conducted using Microsoft Forms with recruitment via social media invitations and collaboration with local medical associations. It gathered data on demographics, clinical practices, and specialized resource availability. The LATAM countries were classified based on economic development (World Bank's classification system). Variables are described using percentages or medians and interquartile ranges and compared among socioeconomic regions using a chi-square test or analysis of variance as appropriate. ResultsIn total, 798 respondents from 20 LATAM countries completed the survey. The median age was 39 years, with 80% attending specialists, 14% residents, and 6% fellows. Countries were represented by 6% high-income, 72% upper-middle income, and 21% lower- middle income populations. Gastroenterology (62%) was the predominant specialty, followed by internal medicine (23%), gastrointestinal endoscopy (18%), and hepatology (18%). Tertiary care centers accounted for 45% of the participants primary activities, followed by second-level care (30%) and private practice (21%). As for the existence of endoscopy suites, there were no differences between surveyed countries but their availability 24/7 remains higher in high income countries. The availability of vasoactive drugs correlated with economic development. The detailed findings are presented in Table 1. ConclusionsIn LATAM, the absence of standardized protocols, limited resources, and expertise pose challenges in AVH management. Enhancing access to specialized care and implementing standardized protocols is crucial to improve patient outcomes in the region." 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Jesus Ruiz1, Wagner Enrique Ramirez2, Antonio Olivas3, Luis Carlos Chávez1, Erick Jasso1, Josealberto S. Arenas1, Thamy Leidy Beltré4, Jose Carlos Jésus Ticona5, Karla Avendaño6, Venny Alberto Venegas1, Carlos Alonzo7, María Fernanda Vásquez8, Juanita Pérez9, Godolfino Miranda1, Graciela Castro1, Luis Eduardo Zamora1

1 Endoscopia Gastrointestinal, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubiran, Ciudad de México, México

2 Clínica Equilibrium, San Juan, Costa Rica

3 Department of Biostatistics, University of Washington, Washington, USA

4 Centro Médico Real Gastro-Metrics, Santo Domingo, República Dominicana

5 Gastroenterología Y Endoscopía Digestiva, Hospital Regional Honorio Delgado, Arequipa, Perú

6 Hospital Monte Sinaí, Guayaquil, Ecuador

7 Clínica Integra Medical Center, Guatemala, Guatemala

8 Gastroenterología y Endoscopia Digestiva, Universidad de Costa Rica, San José, Costa Rica

9 Gastroenterología, Hospital Juárez, Ciudad De México, México

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