Manejo y complicaciones de coledocolitiasis en pacientes de 30 a 45 años estudio a realizar en el Hospital General Guasmo Sur; año 2018
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2019
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
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INTRODUCCION: se conoce a la coledocolitiasis como la presencia patológica de cálculos a nivel del principal conducto de las vías biliares, el colédoco. Esta enfermedad tiene múltiples factores de riesgo asociados, entre los cuales se destacan la edad, el sexo y el estado nutricional del paciente, así como de igual manera, posee varias complicaciones que pueden comprometer la calidad de vida del paciente. METODOLOGIA: Se trata de un trabajo investigativo realizado con un corte transversal en la línea de tiempo, para lo cual se establece un enfoque retrospectivo, obteniendo resultados que serán analizados e interpretados de forma descriptiva, sin el empleo de métodos experimentales. Como principal fuente de información, se utilizó una Base de Datos provista por el Departamento de Estadísticas del Hospital General Guasmo Sur de Guayaquil compuesta por pacientes que al momento de ingreso hospitalario hayan recibido el diagnóstico de Patologías de Vías Biliares y Coledocolitiasis, correspondiente al código de diagnóstico CIE-10 K80.5. RESULTADOS: Luego de finalizar el presente trabajo de investigación, enfocado en los pacientes entre 30 a 45 años con Coledocolitiasis, se pudo determinar que, de un Universo conformado por 358 pacientes ingresados bajo el Diagnóstico de Patologías de Vías Biliares, 100 casos correspondieron a Coledocolitiasis, lo cual equivale a un 27,93% de los casos. Es decir, al menos 1 de cada 4 pacientes con afección de vías biliares tiene su etiología en la presencia de cálculos dentro del árbol biliar, considerándose como una de las principales etiologías. CONCLUSIONES Posterior a la finalización del presente trabajo investigativo, se concluye que la presencia de cálculos en el conducto colédoco consiste en la principal etiología para el desarrollo de Patologías de Vías Biliares, ya que está presente en la mayoría de los casos. Se concluye de igual manera que la obesidad y el antecedente patológico familiar constituyen los principales factores de riesgo para el desarrollo de Coledocolitiasis, manteniendo una relación directa con la aparición y origen de esta patología
INTRODUCTION: Coledocolitiasis is known as the pathological presence of stones at the level of the main bile duct, the common bile duct. This disease has multiple associated risk factors, among which are the age, sex and nutritional status of the patient, as well as having several complications that may compromise the quality of life of the patient. METHODOLOGY: This is a research work done with a cross section in the timeline, for which a retrospective approach is established, obtaining results that will be analyzed and interpreted in a descriptive way, without the use of experimental methods. As the main source of information, we used a database provided by the Statistics Department of the General Hospital Guasmo Sur of Guayaquil, composed of patients who, at the time of hospital admission, had received the diagnosis of Biliary Tract Pathologies and Coledocolitiasis, corresponding to the ICD-10 K80.5 diagnosis. RESULTS: After completing this research work, focused on patients between 30 and 45 years with Coledocolitiasis, it was determined that, of a universe consisting of 358 patients admitted under the Diagnosis of Biliary Tract Pathologies, 100 cases corresponded to Coledocolitiasis, which is equivalent to 27.93% of the cases. That is, at least 1 in every 4 patients with bile duct involvement has its etiology in the presence of stones inside the biliary tree, considered as one of the main etiologies. CONCLUSIONS After the completion of the present investigative work, it is concluded that the presence of stones in the common bile duct consists of the main etiology for the development of Biliary Pathologies, since it is present in the majority of cases. It is concluded that obesity and family history are the main risk factors for the development of Coledocolitiasis, maintaining a direct relationship with the appearance and origin of this pathology.
INTRODUCTION: Coledocolitiasis is known as the pathological presence of stones at the level of the main bile duct, the common bile duct. This disease has multiple associated risk factors, among which are the age, sex and nutritional status of the patient, as well as having several complications that may compromise the quality of life of the patient. METHODOLOGY: This is a research work done with a cross section in the timeline, for which a retrospective approach is established, obtaining results that will be analyzed and interpreted in a descriptive way, without the use of experimental methods. As the main source of information, we used a database provided by the Statistics Department of the General Hospital Guasmo Sur of Guayaquil, composed of patients who, at the time of hospital admission, had received the diagnosis of Biliary Tract Pathologies and Coledocolitiasis, corresponding to the ICD-10 K80.5 diagnosis. RESULTS: After completing this research work, focused on patients between 30 and 45 years with Coledocolitiasis, it was determined that, of a universe consisting of 358 patients admitted under the Diagnosis of Biliary Tract Pathologies, 100 cases corresponded to Coledocolitiasis, which is equivalent to 27.93% of the cases. That is, at least 1 in every 4 patients with bile duct involvement has its etiology in the presence of stones inside the biliary tree, considered as one of the main etiologies. CONCLUSIONS After the completion of the present investigative work, it is concluded that the presence of stones in the common bile duct consists of the main etiology for the development of Biliary Pathologies, since it is present in the majority of cases. It is concluded that obesity and family history are the main risk factors for the development of Coledocolitiasis, maintaining a direct relationship with the appearance and origin of this pathology.
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Coledocolitiasis, Epidemiología descriptiva, Estudios retrospectivos, Hospital General Guasmo Sur, Cantón Guayaquil, Ecuador, Adulto