Factores predictivos de obstrucción intestinal por bridas en edad pediátrica
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2023
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Antecedentes: La obstrucción intestinal por bridas (OBI) es una enfermedad con altos índices de morbi – mortalidad a nivel mundial, tanto durante la adultez como en la edad pediátrica. La nosología supone una obstrucción parcial o total al paso del contenido intestinal a través del tubo digestivo. De forma general existe poca información de esta entidad en la edad pediátrica. Objetivo: Identificar los factores predictivos de obstrucción intestinal por bridas en la edad pediátrica. Metodología: Se realizará una investigación cuyo diseño aplicado es el denominado correlacional longitudinal prospectivo, donde los factores predictivos de obstrucción intestinal por brida adquirida post cirugía son analizados en función de la incidencia de cada uno de ellos en los pacientes pediátricos. Se utilizará como fuente de información los registros de historias clínicas existentes dentro del periodo 2018 a 2020, en el Servicio de cirugía pediátrica del Hospital del niño “Dr. Francisco De Icaza Bustamante”. Resultados obtenidos: Los factores predictivos asociados al incremento de casos de obstrucción intestinal por bridas son la técnica quirúrgica empleada y el uso de drenes intraabdominales. También se puede mencionar como otros factores identificados el sexo masculino, con mayor predominio en edades de 9 a 11 años y; finalmente, el tiempo transcurrido menor a un año desde la cirugía inicial hasta el evento oclusivo. Conclusión: Es necesario establecer estrategias preventivas para disminuir la ocurrencia de obstrucción intestinal por bridas post quirúrgicas durante edad pediátrica. Palabras clave: Obstrucción intestinal por bridas, Sistema digestivo, Cirugía, Factores predictivos.
Background: Mechanical intestinal obstruction by flanges is a disease with high morbi-mortality rates worldwide, both during adulthood and in the pediatric age. The nosology supposes a partial or total obstruction to the passage of the intestinal content through the digestive tract. In general, there is little information on this entity in the pediatric age. Objective: To identify the predictive factors of intestinal occlusion by flanges in the pediatric age. Methodology: An investigation will be carried out whose applied design is the so called prospective longitudinal correlational, where the predictive factors of intestinal occlusion due to a flange acquired after surgery are analyzed based on the incidence of each one of them in pediatric patients. The records of medical records existing within the period 2018 to 2020 will be used as a source of information, in the Pediatric Surgery Service of the Children's Hospital "Dr. Francisco De Icaza Bustamante. Results: The predictive factors associated with the increase in cases of intestinal obstruction by girlfriends are the surgical technique used and the use of intra abdominal drains. The male sex can also be mentioned as other identified factors, with a greater predominance in ages 9 to 11 years and; finally, the time elapsed less than one year from the initial surgery to the occlusive event. Conclusion: It is necessary to establish preventive strategies to avoid, as far as possible, practices that condition the occurrence of intestinal obstruction due to post surgical flanges during pediatric age. Key words: Intestinal obstruction by flanges, Digestive system, Surgery, Predictive factors.
Background: Mechanical intestinal obstruction by flanges is a disease with high morbi-mortality rates worldwide, both during adulthood and in the pediatric age. The nosology supposes a partial or total obstruction to the passage of the intestinal content through the digestive tract. In general, there is little information on this entity in the pediatric age. Objective: To identify the predictive factors of intestinal occlusion by flanges in the pediatric age. Methodology: An investigation will be carried out whose applied design is the so called prospective longitudinal correlational, where the predictive factors of intestinal occlusion due to a flange acquired after surgery are analyzed based on the incidence of each one of them in pediatric patients. The records of medical records existing within the period 2018 to 2020 will be used as a source of information, in the Pediatric Surgery Service of the Children's Hospital "Dr. Francisco De Icaza Bustamante. Results: The predictive factors associated with the increase in cases of intestinal obstruction by girlfriends are the surgical technique used and the use of intra abdominal drains. The male sex can also be mentioned as other identified factors, with a greater predominance in ages 9 to 11 years and; finally, the time elapsed less than one year from the initial surgery to the occlusive event. Conclusion: It is necessary to establish preventive strategies to avoid, as far as possible, practices that condition the occurrence of intestinal obstruction due to post surgical flanges during pediatric age. Key words: Intestinal obstruction by flanges, Digestive system, Surgery, Predictive factors.
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OBSTRUCCION INTESTINAL, PEDIATRIA, SISTEMA DIGESTIVO, HOSPITAL DEL NIÑO FRANCISCO DE ICAZA BUSTAMANTE, CANTON GUAYAQUIL, ECUADOR, BRIDAS