Citas bibligráficas
García, A., (2018). Estudio de las complicaciones locales de la pancreatitis aguda severa, en pacientes atendidos en el Hospital Regional del Cusco en el periodo 2013 a 2017. [Tesis, Universidad Andina del Cusco]. https://hdl.handle.net/20.500.12557/1447
García, A., Estudio de las complicaciones locales de la pancreatitis aguda severa, en pacientes atendidos en el Hospital Regional del Cusco en el periodo 2013 a 2017. [Tesis]. : Universidad Andina del Cusco; 2018. https://hdl.handle.net/20.500.12557/1447
@misc{renati/25604,
title = "Estudio de las complicaciones locales de la pancreatitis aguda severa, en pacientes atendidos en el Hospital Regional del Cusco en el periodo 2013 a 2017.",
author = "García Samanez, Alytsa Maricle",
publisher = "Universidad Andina del Cusco",
year = "2018"
}
Introduction: Acute pancreatitis is an acute inflammatory process that affects the pancreatic gland. Severe acute pancreatitis occurs in 15-25% of cases and has a mortality rate of 10-24%. Within local complications, necrosis appears early in 50% at 24 hours, 70% at 48 hours, 97% at 72 hours and 100% at 96 hours. Infected pancreatic necrosis and acute necrotic collection are two of the few indications for open surgery in severe acute pancreatitis. Even when indicated, surgery is delayed frequently or even replaced by minimally invasive surgical techniques. Objective: To study the local complications of patients diagnosed with severe acute pancreatitis of the Regional Hospital of Cusco during the period 2013-2017. Hypothesis: Infected necrosis and pseudocyst are the most frequent local complications in patients diagnosed with severe acute pancreatitis in the Regional Hospital of Cusco during the year 2013 - 2017. Material and methods: Non-experimental, descriptive, cross-sectional, retrospective and correlational study, carried out in the Regional Hospital of Cusco during the period from January 2013 to December 2017, in patients diagnosed with severe acute pancreatitis, who met the selection criteria. A review of medical records will be carried out, where a database will be entered, using the version SPSS v.22.0 for data processing, with basic descriptive and inferential statistics. Results: The etiology was biliary in 12 cases, ethyl in 6 and unknown in 3. The pseudocyst was the most frequent local complication, since it occurred in 9 patients (42%),followed by the infected necrosis (33%) and the less frequent complication was the acute necrotic collection (4.76%). The imaging was useful because of its good correlation with intraoperative findings, but it was not able to categorically distinguish necrotic pancreatitis from sterile. Surgical treatment was drainage in 66.7%, followed by necrosectomy in 40%, and those who received a bypass were 40%. The tomography’s were analyzed using the Balthazar index, which showed that Grade C (inflammation of the pancreas and / or pancreatic fat) predominated over the other grades (38.10%). Overall mortality was 9.52%. Conclusions: the pseudocyst proved to be the most common local complication in our setting, unlike the literature reviewed. In general, the study of local complications of severe acute pancreatitis in patients treated at the regional hospital of Cusco in the period 2013 to 2017 is similar to those described in most clinical studies nationally and internationally.
IMPORTANTE
La información contenida en este registro es de entera responsabilidad de la universidad, institución o escuela de educación superior que administra el repositorio académico digital donde se encuentra el trabajo de investigación y/o proyecto, los cuales son conducentes a optar títulos profesionales y grados académicos. SUNEDU no se hace responsable por los contenidos accesibles a través del Registro Nacional de Trabajos de Investigación – RENATI.