Manejo de pacientes con ictericia postcolecistectomia estudio a realizarse en el Hospital Universitario de Guayaquil año 2016
Fecha
2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
Introducción: La colédoco litiasis residual es la complicación más frecuente que presentan los pacientes luego de una colecistectomía.
Objetivo: Identificar los pacientes con ictericia postcolecistectomizados en el Hospital Universitario de Guayaquil en el año 2016.
Materiales y métodos: Este proyecto de investigación es de tipo retrospectivo, cualitativo, observacional, no experimental, deductivo y de corte transversal porque los autores no intervienen de una manera directa, y los datos son ajenos a nuestra voluntad, ya que se toman de las historias clínicas de la base de datos del hospital.
Los materiales a utilizarse son una computadora con sistema informático del Hospital Universitario conectado a su base de datos, historias clínicas, hoja de recolección de datos.
Resultados: Se demuestra con esta investigación que la principal causa para que se presente ictericia post colecistectomía es una coledocolitiasis residual con un 63,41% de los casos, seguido de la lesión de la via biliar con el 21,45%, en tercer lugar aparece la colangitis con el 9,75% de los casos y por último la pancreatitis con el 4,87% de los pacientes.
Conclusiones: En el género femenino es relativamente más frecuente esta complicación en relación con el sexo masculino. La causa que prevalece en la ictericia postcolecistectomía es la coledocolitiasis residual seguida de la lesión de la vía biliar, confirmando de esta manera lo que nos dice la literatura médica de que el enclavamiento de un cálculo es la causa más común de ictericia posterior a la extirpación dela vesícula biliar, haciendo mención que el valor de bilirrubinas no es constante en la mayoría de los casos pudiendo variar siempre.
Introduction: Choledochiasis residual lithiasis is the most frequent complication that patients present after a cholecystectomy. Objective: To identify patients with post-cholecystectomized jaundice in the University Hospital of Guayaquil in 2016. Materials and methods: This research project is retrospective, qualitative, observational, non-experimental, deductive and cross-sectional because the authors do not intervene in a direct way, and the data are alien to our will, which are taken from the stories Clinics of the hospital database. The materials in turn are a computer with a computer system of the University Hospital connected to its database, medical records, data collection sheet. Results: It was maintained with this investigation that the main cause for jaundice post cholecystectomy is a residual choledocolithiasis with 63.41% of the cases, followed by the lesion of the bile duct with 21.45%, in a third place appears cholangitis with 9.75% of cases and finally pancreatitis with 4.87% of patients. Conclusions: In the female gender, this complication is relatively frequent in relation to the male sex. The prevailing cause of post-cholecystectomy jaundice is residual choledocholithiasis followed by bile duct injury, confirming in this way what the medical literature tells us that the interlocking of a stone is the most common cause of jaundice after removal. of the gallbladder, mentioning that the value of bilirubins is not constant in most cases and can always vary.
Introduction: Choledochiasis residual lithiasis is the most frequent complication that patients present after a cholecystectomy. Objective: To identify patients with post-cholecystectomized jaundice in the University Hospital of Guayaquil in 2016. Materials and methods: This research project is retrospective, qualitative, observational, non-experimental, deductive and cross-sectional because the authors do not intervene in a direct way, and the data are alien to our will, which are taken from the stories Clinics of the hospital database. The materials in turn are a computer with a computer system of the University Hospital connected to its database, medical records, data collection sheet. Results: It was maintained with this investigation that the main cause for jaundice post cholecystectomy is a residual choledocolithiasis with 63.41% of the cases, followed by the lesion of the bile duct with 21.45%, in a third place appears cholangitis with 9.75% of cases and finally pancreatitis with 4.87% of patients. Conclusions: In the female gender, this complication is relatively frequent in relation to the male sex. The prevailing cause of post-cholecystectomy jaundice is residual choledocholithiasis followed by bile duct injury, confirming in this way what the medical literature tells us that the interlocking of a stone is the most common cause of jaundice after removal. of the gallbladder, mentioning that the value of bilirubins is not constant in most cases and can always vary.
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Vesícula biliar, Ictericia, Bilirrubina, Síndrome poscolecistectomía, Cantón Guayaquil, Ecuador, Hospital Universitario de Guayaquil