Eficacia y seguridad del balón gástrico en pacientes con síndrome metabólico
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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El síndrome metabólico es una patología de alta incidencia con morbimortalidad importante, en los últimos años nuevas terapéuticas no farmacológicas han demostrado significancia relativa en la disminución de complicaciones debida a esta patología. El objetivo del presente trabajo es analizar la eficacia y seguridad de la colocación del balón gástrico en pacientes con síndrome metabólico atendidos en el servicio de Gastroenterología del hospital del IESS “Dr. Teodoro Maldonado Carbo” de la ciudad de Guayaquil. Se planteó un estudio: Analítico, Correlacional, Prospectivo de corte longitudinal con variables categóricas y numéricas y cálculo de Chi cuadrado y T de Student, con (IC del 95%) e índice de error del (5%). El total de pacientes ingresados al estudio fueron 93, de los cuales el 71% fueron mujeres y 29% hombres con una edad media de 37,45 años. Los resultados indican una asociación entre eficacia y seguridad de colocación de balón gástrico en pacientes con síndrome metabólico cuyos resultados demostraron aumento de los niveles séricos de colesterol de baja densidad, reducción de glucosa y triglicéridos post colocación de balón gástrico con 44 mg/dl colesterol alta densidad, 137 mg/dl de triglicéridos, 88 mg/dl de glucosa, con p valor de 0.000 (IC 95%) e índice de error del 5%. La reducción de peso, índice de masa corporal y cintura abdominal se redujeron significativamente con p valor: 0.00. De las complicaciones asociadas a la colocación de balón gástrico no se presentaron en porcentaje mayoritario, las náuseas y vomito fueron las más frecuentes con él 31.6%. Motivo por el cual se aceptó la hipótesis alterna que postula: La colocación del balón gástrico es un método eficaz y seguro para el manejo de pacientes con síndrome metabólico atendidos en el hospital “Teodoro Maldonado Carbo”.
The metabolic syndrome is a pathology of high incidence with significant morbidity and mortality, in recent years new non-pharmacological therapies have demonstrated relative significance in the reduction of complications due to this pathology. The objective of this study is to analyze the efficacy and safety of gastric balloon placement in patients with metabolic syndrome seen in the Gastroenterology service of the IESS hospital "Dr. Teodoro Maldonado Carbo "from the city of Guayaquil. A study was proposed: Analytical, Correlational, Prospective longitudinal cut with categorical and numerical variables and Chi square calculation and Mann Whitney U test, with (95% CI) and error rate of (5%). The total number of patients admitted to the study was 93, of whom 71% were women and 29% men with an average age of 37.45 years. The results indicate the association between efficacy and safety of gastric balloon placement in patients with metabolic syndrome whose results showed increase in serum levels of low-density cholesterol, reduction of glucose and triglycerides after placement of the gastric balloon with 44 mg / dl HDL cholesterol, 137 mg / dl of triglycerides, 88 mg / dl of Glucose, with p value of 0.000 (95% CI) and error rate of 5%. The reduction in weight, body mass index and abdominal waist were significantly reduced with p value: 0.00. Of the complications associated with the placement of gastric balloon were not presented in majority percentage, nausea and vomiting were the most frequent with him 31.6%. Reason for which the alternative hypothesis was accepted: The placement of the gastric balloon is an effective and safe method for the management of patients with metabolic syndrome treated in the hospital "Teodoro Maldonado Carbo".
The metabolic syndrome is a pathology of high incidence with significant morbidity and mortality, in recent years new non-pharmacological therapies have demonstrated relative significance in the reduction of complications due to this pathology. The objective of this study is to analyze the efficacy and safety of gastric balloon placement in patients with metabolic syndrome seen in the Gastroenterology service of the IESS hospital "Dr. Teodoro Maldonado Carbo "from the city of Guayaquil. A study was proposed: Analytical, Correlational, Prospective longitudinal cut with categorical and numerical variables and Chi square calculation and Mann Whitney U test, with (95% CI) and error rate of (5%). The total number of patients admitted to the study was 93, of whom 71% were women and 29% men with an average age of 37.45 years. The results indicate the association between efficacy and safety of gastric balloon placement in patients with metabolic syndrome whose results showed increase in serum levels of low-density cholesterol, reduction of glucose and triglycerides after placement of the gastric balloon with 44 mg / dl HDL cholesterol, 137 mg / dl of triglycerides, 88 mg / dl of Glucose, with p value of 0.000 (95% CI) and error rate of 5%. The reduction in weight, body mass index and abdominal waist were significantly reduced with p value: 0.00. Of the complications associated with the placement of gastric balloon were not presented in majority percentage, nausea and vomiting were the most frequent with him 31.6%. Reason for which the alternative hypothesis was accepted: The placement of the gastric balloon is an effective and safe method for the management of patients with metabolic syndrome treated in the hospital "Teodoro Maldonado Carbo".
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Síndrome metabólico, Balón gástrico, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador, Resultado del tratamiento