Evaluación del tratamiento de la invaginación intestinal, Hospital Dr. Francisco de Ycaza Bustamante 2004-2009
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2011
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La invaginación intestinal es una patología pediátrica que se produce por la introducción de un segmento de intestino delgado y su mesenterio en otro generalmente más distal que interrumpe la circulación produciendo manifestaciones de isquemia. Tiene una incidencia significativamente importante en el Ecuador. Si bien no se relaciona con una alta mortalidad, los costos generados por la morbilidad provocada son onerosos. Existen discrepancias en su tratamiento existiendo dos criterios: No quirúrgico y quirúrgico. En el hospital del niño “Dr. Francisco de Ycaza Bustamante” entre 2004 y 2009 se atendieron 110 casos con una tasa de recidiva del 8 al 10%. Sin embargo no se habían analizado los resultados obtenidos según los diferentes tratamientos. Con el objetivo de poder conocerlos, se realizó un estudio de tipo observacional correlacional y diseño no experimental, longitudinal, retrospectivo con un total de 100 casos identificados desde el primero de enero del 2004 hasta el 31 de diciembre del 2009. Para el análisis estadísticos se emplearon frecuencias simples porcentajes y promedios, los resultados mostraron una incidencia del 40% con un promedio anual de 16 al 17%, y de uno a dos pacientes por mes; en el mes de septiembre fue el de mayor incidencia con el 15%, la invaginación intestinal mostro predominio sobre el género masculino sobre el femenino en relación de 3 a 1, eran en su mayoría menores de un año (96%), con una mediana de 10,6 meses. Un 72% acudieron a la consulta hospitalaria con menos de 24 horas de evolución (tiempo perdido), la efectividad global del enema baritado es de un 12%; un 88% de los pacientes fueron operados por reunir las condiciones básicas preestablecidas para la realización de este procedimiento. De 100 pacientes estudiados, el 77% de su patología fue idiopática y el 33% la causa fue orgánica, se mostro una mortalidad alrededor de un 3%.
Intussusception is a pediatric disease that is caused by the introduction of a segment of small intestine and its mesentery in another usually more distal circulation stops producing manifestations of ischemia. It has a significantly important in Ecuador. While not associated with high mortality, morbidity costs due are brought Honer. There are discrepancies in treatment two criteria: non-surgical and surgical. In the children's hospital "Dr. Ycaza Francisco Bustamante "between 2004 and 2009 110 cases were treated with a recurrence rate of 8 to 10%. However, no results were analyzed according to the different treatments. In order to get to know them, we performed an observational study design correlational and not experimental, longitudinal, retrospective study with a total of 100 cases identified from the first of January 2004 through December 31, 2009. For the statistical analysis used simple frequencies percentages and averages, the results showed an incidence of 40% with an average of 16 to 17%, and one to two patients per month in the month of September was the most frequent with 15%, intussusception showed male dominance over the girls on the ratio of 3 to 1, patients were mostly younger than one year (96%), with a median of 10.6 months. 72% of patients reached the hospital visit within 24 hours of evolution (lost time), the overall effectiveness of the enema is 12%, 88% of patients were operated by or pre qualify for basic performing this procedure. Of 1005 of the enrolled patients, 77% of your pathology was idiopathic and 33% the cause was organic, it showed a very low mortality by about 3%
Intussusception is a pediatric disease that is caused by the introduction of a segment of small intestine and its mesentery in another usually more distal circulation stops producing manifestations of ischemia. It has a significantly important in Ecuador. While not associated with high mortality, morbidity costs due are brought Honer. There are discrepancies in treatment two criteria: non-surgical and surgical. In the children's hospital "Dr. Ycaza Francisco Bustamante "between 2004 and 2009 110 cases were treated with a recurrence rate of 8 to 10%. However, no results were analyzed according to the different treatments. In order to get to know them, we performed an observational study design correlational and not experimental, longitudinal, retrospective study with a total of 100 cases identified from the first of January 2004 through December 31, 2009. For the statistical analysis used simple frequencies percentages and averages, the results showed an incidence of 40% with an average of 16 to 17%, and one to two patients per month in the month of September was the most frequent with 15%, intussusception showed male dominance over the girls on the ratio of 3 to 1, patients were mostly younger than one year (96%), with a median of 10.6 months. 72% of patients reached the hospital visit within 24 hours of evolution (lost time), the overall effectiveness of the enema is 12%, 88% of patients were operated by or pre qualify for basic performing this procedure. Of 1005 of the enrolled patients, 77% of your pathology was idiopathic and 33% the cause was organic, it showed a very low mortality by about 3%
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Intususcepción, Evaluación, Tratamiento, Cirugía, Pediatría, Estudios retrospectivos, Hospital del Niño Francisco de Icaza Bustamante, Cantón Guayaquil, Ecuador