Pancreatitis biliar factores de riesgo y complicaciones en pacientes de 30 a 60 años de edad, estudio a realizar en el Hospital General Dr. Liborio Panchana Sotomayor en el año 2014-2016
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
La pancreatitis aguda (PA) es un proceso inflamatorio, originada por la activación, de la liberación intersticial y la auto digestión de la glándula por sus propias enzimas, que puede ocasionar repercusiones locales o sistémicas. La mortalidad ha disminuido en las últimas décadas, no debido al descubrimiento de nuevos manejos, sino a la mejoría en los cuidados críticos de estos pacientes. La fisiopatología de la PA es poco conocida debido probablemente a la inaccesibilidad del tejido pancreático, particularmente en los estadios tempranos de la enfermedad Las causas de pancreatitis aguda son variables, sin embargo se han identificado las más importantes: la litiasis biliar y el alcoholismo. Las conclusiones fueron las siguientes: La principal complicación post quirúrgica en la pancreatitis biliar fue el absceso peri pancreática en un 36%, seguida de falla orgánica multisistémica 33%. El género más incidente con pancreatitis biliar en nuestro hospital fue femenino con 63 pacientes que representan el 59% de la población estudiada.
PALABRAS CLAVES: Pancreatitis Biliar, Colelitiasis, Colelap, Factores de Riesgo, Complicaciones.
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PANCREATITIS BILIAR RISK FACTORS AND COMPLICATIONS IN A PATIENT OF 30 TO 60 YEARS OF AGE, STUDY TO BE CARRIED OUT IN GENERAL HOSPITAL DR. LIBORIO PANCHANA SATOMAYOR PERIOD 2014-2016
AUTHOR: DANIEL JOSUE GARCIA SAETEROS
TUTOR: DR. DARWIN GUSTAVO GARCIA MACIAS
SUMMARY
Acute pancreatitis (AP) is an inflammatory process, triggered by the activation, of interstitial release and self-digestion of the gland by its own enzymes, which can cause local or systemic repercussions. Mortality has declined in the last decades, not due to the discovery of new management, but to the improvement in the critical care of these patients. The pathophysiology of BP is poorly known, probably due to inaccessibility of pancreatic tissue, particularly in the early stages of the disease. The causes of acute pancreatitis are variable; however, the most important ones have been identified: biliary lithiasis and alcoholism. The conclusions were as follows: The main post-surgical complication in biliary pancreatitis was peri-pancreatic abscess in 36%, followed by multisystemic organ failure 33%. The most incident gender with biliary pancreatitis in our hospital was female with 63 patients representing 59% of the population studied.
Acute pancreatitis (AP) is an inflammatory process, triggered by the activation, of interstitial release and self-digestion of the gland by its own enzymes, which can cause local or systemic repercussions. Mortality has declined in the last decades, not due to the discovery of new management, but to the improvement in the critical care of these patients. The pathophysiology of BP is poorly known, probably due to inaccessibility of pancreatic tissue, particularly in the early stages of the disease. The causes of acute pancreatitis are variable; however, the most important ones have been identified: biliary lithiasis and alcoholism. The conclusions were as follows: The main post-surgical complication in biliary pancreatitis was peri-pancreatic abscess in 36%, followed by multisystemic organ failure 33%. The most incident gender with biliary pancreatitis in our hospital was female with 63 patients representing 59% of the population studied.
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Pancreatitis, Colelitiasis, Factores de riesgo, Complicaciones posoperatorias, Hospital General Dr.Liborio Panchana Sotomayor, Cantón Santa Elena, Ecuador, Cálculos biliares