Incidencia y pérfil clínico de cáncer gástrico en pacientes atendidos en el Area de Gastroenterología en el Hospital de Especialidades Abel Gilbert Pontón en el período de enero 2014 a diciembre 2014
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
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El carcinoma gástrico es el segundo tumor maligno más frecuente en el mundo, prevalece en países occidentales, pero sobre todo, en asiáticos. Los programas de detección precoz con imágenes y endoscopia oral han permitido el diagnóstico en estadios iniciales e incremento de la supervivencia, aunque el 60 % de los pacientes se diagnostican en estadio III o IV, y la sobrevida global a los 5 años es de 5 a 15 %. Este estudio se fundamenta en dar a conocer la incidencia, forma de presentación y sintomatología sabiendo que en Ecuador el Cáncer Gástrico representa el 12% de todos los canceres, con una prevalencia de veintinueve casos por mil, según “Cáncer Incidence in Five Continent” se presenta con más frecuencia entre el séptimo y octavo decenio de la vida. La procedencia y residencia de los pacientes fue principalmente la provincia del Guayas, no sin restar importancia a Los Ríos que ocupo el segundo lugar. Entre los síntomas más comunes de consulta encontramos dolor epigástrico, pérdida de peso, sensación de plenitud y vómitos, siendo además la anemia ferropénica un signo frecuente encontrado en estos pacientes. El adenocarcinoma de tipo intestinal es el principal cáncer gástrico. Siendo endoscopía y biopsia los estudios más importantes en cuanto a diagnóstico de la enfermedad. La mayoría de los tumores se encontró en un estadio avanzado de la enfermedad.
Gastric carcinoma is the second most common malignancy in the world, prevailing in Western countries, but especially in Asia. Early detection programs with images and oral endoscopy have allowed the initial diagnosis and increased survival stadiums, although 60% of patients are diagnosed with stage III or IV, and overall survival at 5 years is 5 to 15%. This study is based on raising awareness of the incidence, presentation and symptomatology knowing that in Ecuador the gastric cancer accounts for 12% of all cancers, with a prevalence of twenty cases per thousand, according to "Cancer Incidence in Five Continent" is most often it occurs between the seventh and eighth decade of life. The origin and residence of the patients was mainly the province of Guayas, without downplaying the rivers that ranked second. Among the most common symptoms of consultation are epigastric pain, weight loss, bloating and vomiting, iron deficiency anemia besides being a frequent sign found in these patients. Adenocarcinoma of intestinal type gastric cancer is the main. Endoscopy and biopsy being the most important in terms of diagnostic accuracy studies. Most tumors were found in an advanced stage of disease.
Gastric carcinoma is the second most common malignancy in the world, prevailing in Western countries, but especially in Asia. Early detection programs with images and oral endoscopy have allowed the initial diagnosis and increased survival stadiums, although 60% of patients are diagnosed with stage III or IV, and overall survival at 5 years is 5 to 15%. This study is based on raising awareness of the incidence, presentation and symptomatology knowing that in Ecuador the gastric cancer accounts for 12% of all cancers, with a prevalence of twenty cases per thousand, according to "Cancer Incidence in Five Continent" is most often it occurs between the seventh and eighth decade of life. The origin and residence of the patients was mainly the province of Guayas, without downplaying the rivers that ranked second. Among the most common symptoms of consultation are epigastric pain, weight loss, bloating and vomiting, iron deficiency anemia besides being a frequent sign found in these patients. Adenocarcinoma of intestinal type gastric cancer is the main. Endoscopy and biopsy being the most important in terms of diagnostic accuracy studies. Most tumors were found in an advanced stage of disease.
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Neoplasias gástricas, Hospital de Especialidades Guayaquil Dr. Abel Gilbert Pontón, Cantón Guayaquil, Ecuador