Lesiones preneoplásicas gastrointestinales en pacientes del Hospital Universitario de Guayaquil período 2014 - 2015 protocolo de análisis preventivo
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Antecedentes: Las lesiones preneoplásicas gastrointestinales son unos de los problemas más frecuentes en salud pública debido a muchos factores, sociales, familiares e individuales. Objetivo. Determinar las lesiones preneoplásicas gastrointestinales para detectar cáncer temprano en pacientes que acuden a consulta externa del Hospital Universitario de Guayaquil durante el periodo 2014-2015.En este hospital se reportaron una elevación del número de pacientes con diferentes síntomas que acudieron a esta consulta para conocer cuál es el causante de la enfermedad. Detectando dispepsia y metaplasia gástrica para luego realizar diagnóstico con los síntomas que presentaron los pacientes. La metodología aplicada fue de un estudio descriptivo, analítico transversal y retrospectivo con un enfoque cuantitativo. Los resultados encontrados en el presente trabajo fueron: 248 casos con dispepsia gástrica; 94 casos con metaplasia gástrica, entre las edades de 18 a 86 años de sexo femenino y masculino. Realizando endoscopía digestiva a 88 pacientes de sexo femenino entre 18 a 89 años y 64 pacientes de sexo masculino entre 29 a 90 años. Luego del procedimiento endoscópico se pudo observar en la mayoría de los pacientes que la lesión más frecuente fue adenocarcinoma. Detectándose a 63 pacientes con cáncer gástrico. Conclusiones. Las lesiones encontradas corresponden a lesiones preneoplásicas, neoplasias, desarrollos inflamatorios, encontrados con el procedimiento endoscópico, siendo más frecuentes en hombres que en mujeres. El grupo de pacientes diagnosticados están entre los 18 a los 90 años, con un rango mayor de los 43 a 86 años. La lesión preneoplásica de mayor prevalencia fue el adenocarcinoma bien diferenciado infiltrante.
Background: Gastrointestinal preneoplastic lesions are one of the most frequent problems in public health due to many factors, social, family and individual. Objective. To determine the preneoplastic gastrointestinal lesions to detect early cancer in patients who go to outpatient clinic of the University Hospital of Guayaquil during the period 2014-2015. In this hospital they reported an increase in the number of patients with different symptoms who came to this consultation to know which is the cause of the disease. Detecting dyspepsia and gastric metaplasia and then performing a diagnosis with the symptoms presented by the patients. The applied methodology was a descriptive, transversal and retrospective analytical study with a quantitative approach. The results found in the present study were: 248 cases with gastric dyspepsia; 94 cases with gastric metaplasia, between the ages of 18 and 86 years of female and male sex. Performing digestive endoscopy to 88 female patients between 18 and 89 years old and 64 male patients between 29 and 90 years old. After the endoscopic procedure, it was observed in the majority of patients that the most frequent lesion was adenocarcinoma. Detecting 63 patients with gastric cancer. Conclusions. The lesions found correspond to preneoplastic lesions, neoplasias, inflammatory developments, found with the endoscopic procedure, being more frequent in men than in women. The group of patients diagnosed are between 18 and 90 years of age, with a range older than 43-86 years. The most prevalent preneoplastic lesion was well-differentiated infiltrating adenocarcinoma.
Background: Gastrointestinal preneoplastic lesions are one of the most frequent problems in public health due to many factors, social, family and individual. Objective. To determine the preneoplastic gastrointestinal lesions to detect early cancer in patients who go to outpatient clinic of the University Hospital of Guayaquil during the period 2014-2015. In this hospital they reported an increase in the number of patients with different symptoms who came to this consultation to know which is the cause of the disease. Detecting dyspepsia and gastric metaplasia and then performing a diagnosis with the symptoms presented by the patients. The applied methodology was a descriptive, transversal and retrospective analytical study with a quantitative approach. The results found in the present study were: 248 cases with gastric dyspepsia; 94 cases with gastric metaplasia, between the ages of 18 and 86 years of female and male sex. Performing digestive endoscopy to 88 female patients between 18 and 89 years old and 64 male patients between 29 and 90 years old. After the endoscopic procedure, it was observed in the majority of patients that the most frequent lesion was adenocarcinoma. Detecting 63 patients with gastric cancer. Conclusions. The lesions found correspond to preneoplastic lesions, neoplasias, inflammatory developments, found with the endoscopic procedure, being more frequent in men than in women. The group of patients diagnosed are between 18 and 90 years of age, with a range older than 43-86 years. The most prevalent preneoplastic lesion was well-differentiated infiltrating adenocarcinoma.
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Lesiones preneoplasicas, Metaplasia, Adenocarcinoma, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador