Patologías colorrectales diagnosticadas mediante endoscopía digestiva baja, evaluación de resultados quirúrgicos, Servicio de Coloproctología, Hospital Regional 2 IESS Dr. Teodoro Maldonado Carbo, 2006 - 2010
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2014
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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La cirugía colorrectal no se limita al cáncer de colon sino que incluye otras patologías no neoplásicas como enfermedad inflamatoria intestinal, enfermedad diverticular o vólvulos de colon. El examen colonoscópico tiene la ventaja de observar directamente la mucosa recto-colónica en toda su extensión. En este estudio se presentan los resultados de la cirugía colorrectal en patologías diagnósticadas mediante endoscopía digestiva baja en nuestro medio. El estudio se realizó en el Hospital del IESS Regional 2 “Dr. Teodoro Maldonado Carbo”. Servicio de Coloproctología. Periodo 2006-2010. Se incluyeron un total de 128 pacientes. La investigación es de tipo descriptivo y comparativo, de diseño no experimental, longitudinal y retrospectivo. Los resultados mostraron que el 62,5% de pacientes fueron de género masculino, el 33,6% de casos fue en pacientes mayores de 70 años, el 75 % de pacientes no tenían historia quirúrgica previa, la rectosigmoideoscopia fue el examen más utilizado con el 47,7%, se diagnosticaron por vía endoscópica cacolorrectal en un 42,2%. El 75% de pacientes tenían un ASA II, la cirugía más realizada fue la sigmoidectomia y la resección anterior baja con el 17,2% cada una, se utilizó sutura mecánica en un 97,6% de casos, la entrada para anastomosis más utilizada fue la vía anal con el 92,2%, en el 39,6% se realizó anastomosis a 15 cm del margen anal, en cuanto al tiempo quirúrgico se constató una media de 181 minutos, el 50,8% de pacientes requirió estancia hospitalaria de 6 a 10 días, hubo un 14,84% de complicaciones y una mortalidad del 4,68%.
The colorrectal surgery is not limited the colon cancer but that includes other nonneoplásicas pathologies like intestinal inflammatory disease, disease to diverticular or vólvulos of colon. The colonoscopy examination has the advantage to directly observe the straight-colónica mucosa in all its extension. In this study the results of the colorrectal surgery in pathologies diagnosed by means of endoscopía appear digestive loss in our means. The study was made in the Hospital of 2 Regional IESS “Dr. Teodoro Maldonado Carbo”. Service of Coloproctología. Period 2006-2010. A total of 128 patients was included. The investigation is of descriptive and comparative type, of nonexperimental design, longitudinal and retrospective. The results showed that 62.5% of patients were of masculine, 33.6% of cases were in greater patients of 70 years, 75% of patients did not have previous surgical history, the rectosigmoideoscopia was the used examination more with 47.7%, diagnosed by colorrectalendoscópica route ca in a 42.2%. 75% of patients had a HANDLE II, the made surgery more was sigmoidectomia and the previous resección loss with 17.2% each one, was used mechanical suture in a 97.6% of cases, the entrance for used anastomosis more was the anal route with 92.2%, in 39.6% was made anastomosis to 15 cm of the anal margin, as far as the surgical time was stated an average of 181 minutos, 50.8% of patients required hospital stay of 6 to 10 days, was a 14.84% of complications and one mortality of 4.68%.
The colorrectal surgery is not limited the colon cancer but that includes other nonneoplásicas pathologies like intestinal inflammatory disease, disease to diverticular or vólvulos of colon. The colonoscopy examination has the advantage to directly observe the straight-colónica mucosa in all its extension. In this study the results of the colorrectal surgery in pathologies diagnosed by means of endoscopía appear digestive loss in our means. The study was made in the Hospital of 2 Regional IESS “Dr. Teodoro Maldonado Carbo”. Service of Coloproctología. Period 2006-2010. A total of 128 patients was included. The investigation is of descriptive and comparative type, of nonexperimental design, longitudinal and retrospective. The results showed that 62.5% of patients were of masculine, 33.6% of cases were in greater patients of 70 years, 75% of patients did not have previous surgical history, the rectosigmoideoscopia was the used examination more with 47.7%, diagnosed by colorrectalendoscópica route ca in a 42.2%. 75% of patients had a HANDLE II, the made surgery more was sigmoidectomia and the previous resección loss with 17.2% each one, was used mechanical suture in a 97.6% of cases, the entrance for used anastomosis more was the anal route with 92.2%, in 39.6% was made anastomosis to 15 cm of the anal margin, as far as the surgical time was stated an average of 181 minutos, 50.8% of patients required hospital stay of 6 to 10 days, was a 14.84% of complications and one mortality of 4.68%.
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Cirugía colorrectal, Epidemiología descriptiva, Estudios retrospectivos, Estudio comparativo, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador, Colonoscopía, Patología