Complicaciones de gastritis por helicobacter pylori, estudio a realizar en el Hospital Universitario de Guayaquil en el período 2014-2015
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
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La Helicobacter pylori es considerado un patógeno humano de interés global estimando que más de la mitad población mundial está infectada por este microorganismo. La patología de la gastritis, hoy en día, es una de las causas más frecuentes de consulta por dolor abdominal; a nivel latinoamericano corresponde al 33.3% del total de las consultas por abdomen El propósito de la investigación, es analizar las complicaciones de la gastritis por Helicobacter pylori, en pacientes del Hospital universitario de Guayaquil periodo 2014-2015, de esta manera se espera actualizar información de esta patología de gran demanda en el hospital y proporcionar recomendaciones que sirvan para elaborar estrategias de prevención de complicaciones y minimizar el impacto negativo de esta patología. La mayor proporción de pacientes fueron las personas que están por encima de los 51 años de edad con un 66 %, El grupo laboral de profesión obrera (29%) fueron los que mayormente padecen Gastritis por Helicobacter pylori. .En cuanto al lugar de procedencia, la provincia del Guayas ocupa el primer lugar con el 54 %, seguido de la provincia de santa Elena con el 22 % y la provincia de EL Oro con un 12 %.Se asoció a comorbilidades, siendo la diabetes quien prevalece en este tipo de pacientes con un 60 % y las enfermedades autoinmunes en un 24 %, además asociados a enfermedades inmunosupresoras de diferentes tipos con 14 %.Los factores de riesgo más frecuentes fueron el consumo excesivo de irritantes gástricos, con el 66%, el alcoholismo con 74 %, y el tabaco. Se encontró asociación estadísticamente significativa entre las complicaciones y los factores de riesgo (p0, 001) y la edad (p0, 003).
Helicobacter pylori is considered a human pathogen of global interest estimating that more than half the world population is infected by this microorganism. The pathology of gastritis, nowadays, is one of the most frequent causes of consultation for abdominal pain; At the Latin American level corresponds to 33.3% of the total number of visits per abdomen. The purpose of this study is to analyze the complications of Helicobacter pylori gastritis in patients from the University Hospital of Guayaquil in the period 2014-2015. Of this pathology of great demand in the hospital and to provide recommendations that serve to elaborate strategies of prevention of complications and to minimize the negative impact of this pathology. The largest proportion of patients were those over 51 years of age with 66%. The occupational group of workers (29%) were those who mainly suffer Helicobacter pylori gastritis. As for the place of origin, the province of Guayas occupies the first place with 54%, followed by the province of Santa Elena with 22% and the province of El Oro with 12%. It was associated with comorbidities, being the Diabetes that prevails in this type of patients with 60% and autoimmune diseases in 24%, also associated with immunosuppressive diseases of different types with 14%. The most frequent risk factors were excessive consumption of gastric irritants, with 66 %, Alcoholism with 74%, and tobacco. We found a statistically significant association between complications and risk factors (p0, 001) and age (p0, 003).
Helicobacter pylori is considered a human pathogen of global interest estimating that more than half the world population is infected by this microorganism. The pathology of gastritis, nowadays, is one of the most frequent causes of consultation for abdominal pain; At the Latin American level corresponds to 33.3% of the total number of visits per abdomen. The purpose of this study is to analyze the complications of Helicobacter pylori gastritis in patients from the University Hospital of Guayaquil in the period 2014-2015. Of this pathology of great demand in the hospital and to provide recommendations that serve to elaborate strategies of prevention of complications and to minimize the negative impact of this pathology. The largest proportion of patients were those over 51 years of age with 66%. The occupational group of workers (29%) were those who mainly suffer Helicobacter pylori gastritis. As for the place of origin, the province of Guayas occupies the first place with 54%, followed by the province of Santa Elena with 22% and the province of El Oro with 12%. It was associated with comorbidities, being the Diabetes that prevails in this type of patients with 60% and autoimmune diseases in 24%, also associated with immunosuppressive diseases of different types with 14%. The most frequent risk factors were excessive consumption of gastric irritants, with 66 %, Alcoholism with 74%, and tobacco. We found a statistically significant association between complications and risk factors (p0, 001) and age (p0, 003).
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Gastritis, Complicaciones, Helicobacter pylori, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador, Epidemiología descriptiva