Complicaciones y secuelas de apendicitis en niños en el Hospital Francisco de Icaza Bustamante período 2014 - 2015
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
Introducción: La apendicitis aguda se encuentra entre las urgencias quirúrgicas que con mayor frecuencia se presenta en niños. Según las estadísticas mundiales, es la causa principal de abdomen agudo quirúrgico pediátrico. Nuestro país no es ajeno a esta referencia, siendo la apendicitis aguda la primera causa de las intervenciones quirúrgicas de emergencia en la población pediátrica. Es una urgencia quirúrgica frecuentemente mal diagnosticada y por lo cual causa morbilidad elevada y, en ocasiones mortalidad. Incluso puede llegar a representar un riesgo vital. Esto es más común en pacientes pediátricos, en los cuales a pesar de ser la apendicitis muy rara, es causante de varias complicaciones debido al retraso en el diagnóstico. El retraso en su reconocimiento se asocia a un aumento de la morbilidad, mortalidad y costos médicos. El estudio de esta investigación va orientado a establecer las complicaciones y secuelas que puede producir esta enfermedad en los niños. Determinar las posibles complicaciones y secuelas asociadas a la apendicitis aguda en los niños. Para concientizar y en un futuro disminuir la estancia, y costo de salud de esta enfermedad, a través de un diagnóstico precoz.
Materiales y métodos: Estudio retrospectivo cuya una muestra es de 2193 pacientes sometidos a criterios de inclusión y exclusión, con diagnóstico de Apendicitis Aguda atendidos en el Servicio de Cirugía General del Hospital Francisco de Icaza Bustamante periodo 2014 – 2015.
Resultados: Se estudiaron 796 pacientes con Apendicitis Aguda complicada del Hospital Francisco De Icaza Bustamante en los años 2014 – 2015, siendo la complicación más frecuente en 56% perforación y peritonitis; con mayor incidencia en 60% de sexo masculino.
Introduction: Acute appendicitis is among the surgical emergencies that most often occurs in children. According to global statistics, it is the leading cause of pediatric surgical acute abdomen. Our country is no stranger to this reference, acute appendicitis being the leading cause of emergency surgery in the pediatric population. It is often misdiagnosed surgical emergency and causing high morbidity and sometimes mortality. You can even represent a vital risk. This is more common in pediatric patients, which despite being very rare appendicitis is causing various complications due to delayed diagnosis. The delay in recognition is associated with increased morbidity, mortality and medical costs. The study of this research is aimed at establishing the complications and consequences that can cause this disease in children. Determine the possible complications and sequelae associated with acute appendicitis in children. To raise awareness and reduce future stay, and health cost of this disease through early diagnosis. Materials and Methods: A retrospective study which is a sample of 2193 patients undergoing inclusion and exclusion criteria, diagnosed with acute appendicitis treated at the Department of General Surgery Hospital Francisco Icaza Bustamante period 2014-2015. Results: 796 patients with complicated acute appendicitis Hospital Francisco de Icaza Bustamante were studied in the years 2014-2015, the most frequent complication in 56% perforation and peritonitis; with 60% higher incidence in males.
Introduction: Acute appendicitis is among the surgical emergencies that most often occurs in children. According to global statistics, it is the leading cause of pediatric surgical acute abdomen. Our country is no stranger to this reference, acute appendicitis being the leading cause of emergency surgery in the pediatric population. It is often misdiagnosed surgical emergency and causing high morbidity and sometimes mortality. You can even represent a vital risk. This is more common in pediatric patients, which despite being very rare appendicitis is causing various complications due to delayed diagnosis. The delay in recognition is associated with increased morbidity, mortality and medical costs. The study of this research is aimed at establishing the complications and consequences that can cause this disease in children. Determine the possible complications and sequelae associated with acute appendicitis in children. To raise awareness and reduce future stay, and health cost of this disease through early diagnosis. Materials and Methods: A retrospective study which is a sample of 2193 patients undergoing inclusion and exclusion criteria, diagnosed with acute appendicitis treated at the Department of General Surgery Hospital Francisco Icaza Bustamante period 2014-2015. Results: 796 patients with complicated acute appendicitis Hospital Francisco de Icaza Bustamante were studied in the years 2014-2015, the most frequent complication in 56% perforation and peritonitis; with 60% higher incidence in males.
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Palabras clave
Apendicitis, Pediatría, Complicaciones, Hospital del Niño Franciso de Icaza Bustamante, Cantón Guayaquil, Ecuador, Epidemiología descriptiva, Estudios retrospectivos