Biopsia hepática dirigida por tomografía computada como procedimiento para evaluación pre quirúrgico en pacientes con cirrosis del Area de Gastroenterología, estudio realizado en el Hospital Luis Vernaza de la ciudad de Guayaquil en marzo - julio 2015
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Tecnología Médica
Resumen
Al término del presente trabajo de titulación se pudo comprobar que los pacientes que ingresan al Área de Gastroenterología del Hospital Luis Vernaza de la ciudad de Guayaquil, son por lo general pacientes con cirrosis hepática que presentan sintomatologías entre agudas y crónicas, siendo la causa más común por ingesta de alcohol con un 73.33%. La población más afectada con esta problemática social es el sexo masculino con un 60%. El rango de edad de ingresados esta entre los 40 – 42 años de edad mientras que en el procedimiento de la Biopsia Hepática dirigida por Tomografía Computada, los resultados de la extracción de la muestra hepática se localizaron en la cara superior del hígado con un 60% que al análisis por laboratorio clínico dieron que la muestra hepática extraída está en un estado inicial con un porcentaje del 60%. Por lo tanto, la cirrosis hepática es una enfermedad que afecta al tejido hepático como consecuencia final de diferentes enfermedades crónicas siendo la causa más conocida, la ingesta de alcohol. De tal manera, este trabajo propone que la Biopsia Hepática dirigida por Tomografía Computada es un procedimiento de diagnóstico médico que consiste en la extracción de una muestra total o parcial de tejido hepático para ser examinada al microscopio siendo una técnica ampliamente validada y no invasiva en el paciente para descartar lesiones hepáticas sospechosas de malignidad. La metodología que se utilizó en este trabajo fue el aporte de investigaciones bibliográficas, documentales y electrónicas utilizando los métodos descriptivos, explicativos y experimentales, lo que permite en este trabajo poder dar un nuevo aporte al futuro Imagenólogo que pueda utilizar esta técnica en pacientes con Cirrosis Hepática. El presente trabajo estuvo fortalecido con juicios de experto con la MSC. NISSEY REYES LOZANO
At the end of this degree work it was found that patients admitted to the Area of Gastroenterology of the Hospital Luis Vernaza from the city of Guayaquil, are usually patients with liver cirrhosis presenting symptomatologies between acute and chronic, being the most common cause by intake of alcohol with a 73.33%. The most affected population with this social problem is 60% male. The age of admitted this range between 40 - 42 years of age, while in the procedure of the hepatic biopsy guided by computed tomography, the results of the removal of the liver sample were located on the top side of the liver with a 60% given by laboratory analysis the extracted liver sample is at an early stage with a percentage of 60%. Therefore, the cirrhosis liver is a disease affects to the tissue liver as result end of different diseases chronic being the cause more known, the intake of alcohol. So, this paper proposes that the computed tomography-guided liver biopsy is a procedure of medical diagnosis that involves the extraction of a total sample partial liver to be examined under a microscope ø being a technique widely validated and non-invasive in the patient to rule out hepatic lesions suspicious for malignancy. The methodology used in this work was the contribution of bibliographic research, documentary and electronic using the descriptive, explanatory methods experimental y, allowing in this paper provide a new contribution to the future Imagenólogo that can use this technique in patients with hepatic cirrhosis. The present work was strengthened with judgments of experts with MSC. NISSEY REYES LOZANO
At the end of this degree work it was found that patients admitted to the Area of Gastroenterology of the Hospital Luis Vernaza from the city of Guayaquil, are usually patients with liver cirrhosis presenting symptomatologies between acute and chronic, being the most common cause by intake of alcohol with a 73.33%. The most affected population with this social problem is 60% male. The age of admitted this range between 40 - 42 years of age, while in the procedure of the hepatic biopsy guided by computed tomography, the results of the removal of the liver sample were located on the top side of the liver with a 60% given by laboratory analysis the extracted liver sample is at an early stage with a percentage of 60%. Therefore, the cirrhosis liver is a disease affects to the tissue liver as result end of different diseases chronic being the cause more known, the intake of alcohol. So, this paper proposes that the computed tomography-guided liver biopsy is a procedure of medical diagnosis that involves the extraction of a total sample partial liver to be examined under a microscope ø being a technique widely validated and non-invasive in the patient to rule out hepatic lesions suspicious for malignancy. The methodology used in this work was the contribution of bibliographic research, documentary and electronic using the descriptive, explanatory methods experimental y, allowing in this paper provide a new contribution to the future Imagenólogo that can use this technique in patients with hepatic cirrhosis. The present work was strengthened with judgments of experts with MSC. NISSEY REYES LOZANO
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CIRROSIS HEPATICA, BIOPSIA, TOMOGRAFIA COMPUTARIZADA POR RAYOS X, EPIDEMIOLOGIA DESCRIPTIVA, HOSPITAL LUIS VERNAZA, CANTON GUAYAQUIL, ECUADOR, Evaluación preoperatoria