Factores predictivos de varices esofágicas y/o gástricas en pacientes con cirrosis hepática en el HTMC período enero a diciembre 2014
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
El presente trabajo se realiza con el objetivo de determinar por observación indirecta, los factores predictivos de várices esofágicas y/o gástricas en pacientes con Cirrosis hepática del HTMC año 2014, para lo cual se ha tomado los datos del servicio de Gastroenterología del hospital del IESS Dr. Teodoro Maldonado Carbo de la ciudad de Guayaquil, en el periodo comprendido entre Enero del 2014 a diciembre 2014 con el fin de analizar la problemática descrita. El marco teórico de este trabajo se ha desarrollado con los siguientes conceptos: epidemiologia de la cirrosis hepática y varices esofágicas, fisiopatología, factores de riesgo y etiológicos, historia natural (fase compensada, fase descompensada: ascitis, encefalopatía hepática, varices esofago-gástricas y hemorragia digestiva), pronóstico (escala de Child Pugh Turcotte), manifestaciones clínicas, diagnóstico (alteraciones bioquímicas, pruebas imagenológicas ) y tamizaje de varices esofágicas.
Los pacientes que se estudiaron cumplieron con los criterios de inclusión y exclusión descritos en el trabajo. Los resultados de la investigación fueron analizados y luego procesados estadísticamente. Los datos fueron tomados de las historias clínicas de los pacientes a través del sistema AS400 del HTMC.
This work is performed in order to determine by indirect observation, the predictors of esophageal and / or gastric varices in patients with liver cirrhosis HTMC 2014 for which data has been taken from the Gastroenterology Service of Hospital IESS Dr. Teodoro Maldonado Carbo city of Guayaquil, in the period from January 2014 to December 2014 in order to analyze the problems described. The theoretical framework of this work has been developed with the following: epidemiology of liver cirrhosis and esophageal varices, pathophysiology, risk factors and etiology, natural history (compensated stage, decompensated stage: ascites, hepatic encephalopathy, gastroesophageal varices and bleeding), prognosis (Child Pugh Turcotte), clinical manifestations, diagnosis (biochemical alterations, imaging tests) and screening of esophageal varices. Patients were studied met the inclusion and exclusion criteria described in the job. The research results were analyzed and then statistically processed. The data were collected from medical records of patients through the HTMC AS400 system.
This work is performed in order to determine by indirect observation, the predictors of esophageal and / or gastric varices in patients with liver cirrhosis HTMC 2014 for which data has been taken from the Gastroenterology Service of Hospital IESS Dr. Teodoro Maldonado Carbo city of Guayaquil, in the period from January 2014 to December 2014 in order to analyze the problems described. The theoretical framework of this work has been developed with the following: epidemiology of liver cirrhosis and esophageal varices, pathophysiology, risk factors and etiology, natural history (compensated stage, decompensated stage: ascites, hepatic encephalopathy, gastroesophageal varices and bleeding), prognosis (Child Pugh Turcotte), clinical manifestations, diagnosis (biochemical alterations, imaging tests) and screening of esophageal varices. Patients were studied met the inclusion and exclusion criteria described in the job. The research results were analyzed and then statistically processed. The data were collected from medical records of patients through the HTMC AS400 system.
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Várices esofágicas y gástricas, Cirrosis hepática, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador, Causalidad