Correlación clínica de los hallazgos endoscópicos e histológicos en pacientes con síndrome dispéptico
Fecha
2020
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Introducción: La dispepsia es un trastorno del aparato gastrointestinal que se encuentra asociado a una disfunción del proceso digestivo, y que actualmente es de gran prevalencia en la salud pública de toda sociedad moderna. Objetivo: Determinar la correlación de las características clínicas del síndrome dispéptico con los hallazgos endoscópicos e histológicos en pacientes atendidos en el área de consulta externa de Gastroenterología del Hospital de Especialidades Teodoro Maldonado Carbo, periodo 2019- 2020. Metodología: estudio de enfoque cuantitativo, no experimental, de corte transversal, observacional, analítico y correlacional, presentando como población total de estudio a 387 pacientes que cumplieron con los criterios de selección. Resultados: En este trabajo se constató que este trastorno es más frecuente en mujeres (n=67,2%), y el grupo etario más afectado es el de 40-64 años (n=55,3%). En cuanto la caracterización clínica más frecuente fue la de epigastralgia como único síntoma (n=40,1%); mientras que en los hallazgos globales en endoscopia se encontraron 4 tipos de hallazgos: normales (n=57,7%), inflamatorios (n=21,2%), preneoplásicos (n=14,8%), y otros (n=6,3%). El hallazgo histológico más frecuente fue la gastritis crónica (n=66,7). Discusión: Se pudo comprobar que el sexo no es muy prevalente para que un paciente sufra dispepsia, dado que en diversos estudios varía el sexo, teniendo similitud con otros estudios en cuando al grupo etario y la caracterización clínica. Conclusión: Se puede concluir que existe una asociación significativa entre la clínica y los hallazgos endoscópicos e histológicos.
Introduction: Dyspepsia is a gastrointestinal tract disorder that is associated with a dysfunction of the digestive process, and which is currently highly prevalent in the public health of all modern society. Objective: To determine the correlation of the clinical characteristics of the dyspeptic syndrome with the endoscopic and histological findings in patients treated in the Gastroenterology outpatient area of the Teodoro Maldonado Carbo Specialty Hospital, period 2019-2020. Methodology: It is a study with a quantitative, non-experimental, cross-sectional, observational, analytical, and correlational approach, presenting as the total study population 387 patients who met the selection criteria. Results: In this work it was found that this disorder is more frequent in women (n = 67.2%), and the age group most affected is that of 40-64 years (n = 55.3%). As for the most frequent clinical characterization was epigastric pain as the only symptom (n = 40.1%); While in the global findings in endoscopy, 4 types of findings were found: normal (n = 57.7%), inflammatory (n = 21.2%), preneoplastic (n = 14.8%), and others (n = 6.3%). The most frequent histological finding was chronic gastritis (n = 66.7). Discussion: It was found that sex is not very prevalent for a patient to suffer from dyspepsia, since in various studies the sex varies, having similarity with other studies in terms of age group and clinical characterization. Conclusion: It can be concluded that there is a significant association between clinical and endoscopic and histological findings.
Introduction: Dyspepsia is a gastrointestinal tract disorder that is associated with a dysfunction of the digestive process, and which is currently highly prevalent in the public health of all modern society. Objective: To determine the correlation of the clinical characteristics of the dyspeptic syndrome with the endoscopic and histological findings in patients treated in the Gastroenterology outpatient area of the Teodoro Maldonado Carbo Specialty Hospital, period 2019-2020. Methodology: It is a study with a quantitative, non-experimental, cross-sectional, observational, analytical, and correlational approach, presenting as the total study population 387 patients who met the selection criteria. Results: In this work it was found that this disorder is more frequent in women (n = 67.2%), and the age group most affected is that of 40-64 years (n = 55.3%). As for the most frequent clinical characterization was epigastric pain as the only symptom (n = 40.1%); While in the global findings in endoscopy, 4 types of findings were found: normal (n = 57.7%), inflammatory (n = 21.2%), preneoplastic (n = 14.8%), and others (n = 6.3%). The most frequent histological finding was chronic gastritis (n = 66.7). Discussion: It was found that sex is not very prevalent for a patient to suffer from dyspepsia, since in various studies the sex varies, having similarity with other studies in terms of age group and clinical characterization. Conclusion: It can be concluded that there is a significant association between clinical and endoscopic and histological findings.
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DISPEPSIA, SIGNOS Y SINTOMAS, CORRELACION DE DATOS, HALLAZGO HISTOLOGICO, HALLAZGOS ENDOSCOPICOS, EPIDEMIOLOGIA ANALITICA, HOSPITAL DE ESPECIALIDADES DR. TEODORO MALDONADO CARBO, CANTON GUAYAQUIL, ECUADOR