Síndrome de obstrucción intestinal en mayores de 18 años en el Hospital Universitario de Guayaquil durante el período 2016
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Dentro de los cuadros de abdomen agudo, uno de los más frecuentes encontrados es el síndrome de obstrucción intestinal, que consiste en la detención del tránsito intestinal, de forma completa y persistente en algún punto del intestino delgado o grueso y constituye entre el 20-35% de los ingresos urgentes de las áreas quirúrgicas hospitalarias. Sualta incidencia hace que el personal médico conozca de manera exhaustiva este síndrome, así como las diferentes formas de presentación, y se considera que la complicación de las hernias y adherencias son la causa más frecuente de oclusión intestinal de intestino delgado mientras que estas no son las mismas para colonya que aquí se presenta con mayor frecuencias procesos tumorales que pueden provocar dicho síndrome.Es claro que una buena exploración e historia clínica, seguida de procedimientos protocolizados, pueden disminuir la incidencia de morbimortalidad en estos pacientes. En este estudio que se llegóal descubrimiento de que el síndromede obstrucciónintestinal se ve muy a menudoen el Hospital Universitario de Guayaquil por lo que es necesario investigar cuálesson sus causas principales y en que grupos de personas se presentan, ya que pueden producir grandes complicaciones sino se llega a un diagnósticoy a un tratamiento temprano. El propósitode este trabajo es encontrarlas etiologías que llegan frecuentemente a esta casa de salud de síndromede obstrucciónintestinalpara asíbrindar una adecuada atención en este medio hospitalario, el conocimiento de sus causas provocaría una disminución del gasto público en tratamiento de diversas patologías que este síndrome provocaría. En cuanto a la metodología este es un trabajo de tipo cuantitativo no experimental, corte transversal y de tipo analítico
Among the acute abdomen, one of the most frequent found is the intestinal obstruction syndrome, which consists in the arrest of intestinal transit, completely and persistently at some point in the small or large intestine and constitutes between 20-35 % of emergency admissions from hospital surgical areas. Its high incidence makes the medical staff know this syndrome in an exhaustive way, as well as the different forms of presentation, and it is considered that the complication of hernias and adhesions are the most frequent cause of intestinal occlusion of the small intestine while these are not the The same for the colon, since here tumor processes that can cause this syndrome occur more frequently. It is clear that a good examination and clinical history, followed by protocolized procedures, can reduce the incidence of morbidity and mortality in these patients. In this study, the discovery was made that intestinal obstruction syndrome is seen very often in the University Hospital of Guayaquil, so it is necessary to investigate what its main causes are and in which groups of people they present, since they can cause major complications if they do not occur. to early diagnosis and treatment. The purpose of this work is to find the etiologies that frequently come to this clinic of intestinal obstruction syndrome in order to provide adequate care in this hospital environment, the knowledge of its causes would cause a decrease in public spending on treatment of various pathologies that this syndrome would cause. Regarding the methodology, this is a non-experimental quantitative, cross-sectional and analytical type work.
Among the acute abdomen, one of the most frequent found is the intestinal obstruction syndrome, which consists in the arrest of intestinal transit, completely and persistently at some point in the small or large intestine and constitutes between 20-35 % of emergency admissions from hospital surgical areas. Its high incidence makes the medical staff know this syndrome in an exhaustive way, as well as the different forms of presentation, and it is considered that the complication of hernias and adhesions are the most frequent cause of intestinal occlusion of the small intestine while these are not the The same for the colon, since here tumor processes that can cause this syndrome occur more frequently. It is clear that a good examination and clinical history, followed by protocolized procedures, can reduce the incidence of morbidity and mortality in these patients. In this study, the discovery was made that intestinal obstruction syndrome is seen very often in the University Hospital of Guayaquil, so it is necessary to investigate what its main causes are and in which groups of people they present, since they can cause major complications if they do not occur. to early diagnosis and treatment. The purpose of this work is to find the etiologies that frequently come to this clinic of intestinal obstruction syndrome in order to provide adequate care in this hospital environment, the knowledge of its causes would cause a decrease in public spending on treatment of various pathologies that this syndrome would cause. Regarding the methodology, this is a non-experimental quantitative, cross-sectional and analytical type work.
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Obstrucción intestinal, Epidemiología analítica, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador