Behavior of pancreatitis in patients of the General Teaching Hospital Dr. Agostinho Neto. Guantanamo, 2015-2018.
Keywords:
acute pancreatitis, necrohemorrhagic pancreatitis, cholecystectomy, chronic pancreatitis, behaviorAbstract
Pancreatitis is caused by the early activation of pancreatic enzymes, mainly in the Trypsin formed from trypsinogen within the pancreatic acinar cells causing their autodigestion. Objective: to clinically and epidemiologically characterize patients admitted with pancreatitis at the Hospital General Docente Dr. Agostinho Neto. Method: a descriptive, longitudinal and retrospective study was carried out at the Hospital General Docente de Guantánamo "Dr. Agustino Neto", between February 2015 and February 2018. A total of 86 patients, who represents the universe and the sample studied, were diagnosed and treated in the surgery service department of the hospital, all with one or more previous diagnoses. Results: Necrohemorrhagic pancreatitis was the most representative (53.5 %), ages between 40 to 49 years and 50 to 59 years were predominated (26.7 % each), the most used surgical intervention was cholecystectomy (in 33 patients, 38.4 %), and most of patients did not present complications, (71, and 82.6 %). Conclusions: Pancreatitis does not present significant differences in its behavior in terms of sex, affecting both men and women, being more frequent in the middle ages. Surgical treatment should be the last therapeutic option and if necessary, minimally invasive procedures should be prioritized.
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References
Durón DB, Laínez AG, García WU, Rubio LL, Rosales AB, Romero LD. Pancreatitis aguda: evidencia actual. Archivos de medicina [Internet]. 2018 [citado 23 Nov 2020];14 (1), 4. Disponible en: https://dialnet.unirioja.es/descarga/articulo/6373539.pdf
Mederos MA, Reber HA, Girgis MD. Acute Pancreatitis: A Review. JAMA [Internet]. 2021 Jan 26 [citado 25 de mayo de 2021];325(4):382-390. doi: 10.1001/jama.2020.20317.
Guda NM, Romagnuolo J, Freeman ML. Recurrent and relapsing pancreatitis. Current Gastroenterology Reports [Internet]. 2011 Apr [citado 28 Nov 2020];13(2):140-149. DOI: 10.1007/s11894-011-0176-x. PMID: 21286872.
Díaz DC, Otero Regino W, Gómez Zuleta M. Pancreatitis aguda y elevación de aminotransferasas: ¿en qué pensar? Reporte de caso y revisión de la literatura. Rev. colomb. Gastroenterol [Internet]. 2016 [citado 18 Nov 2020];30(4):479-84. Disponible en: https://doi.org/10.22516/25007440.13
Lee, P.J., Papachristou, G.I. New insights into acute pancreatitis. Nat Rev Gastroenterol Hepatol [Internet]. 2019 [citado 27 Nov 2020]; 16 (8) :479-496. Disponible en: https://doi.org/10.1038/s41575-019-0158-27.
Petrov MS, Yadav D. Global epidemiology and holistic prevention of pancreatitis. Nat Rev Gastroenterol Hepatol [Internet]. 2019 [citado 18 Nov 2020];16(3):175-184. doi:10.1038/s41575-018-0087-5.
Xiao AY, Tan ML, Wu LM, et al. Global incidence and mortality of pancreatic diseases: a systematic review, meta-analysis, and meta-regression of population-based cohort studies. Lancet Gastroenterol Hepatol [Internet]. 2016 [citado 18 Nov 2020];1(1):45-55. doi:10.1016/S2468-1253(16)30004-8
Díaz-Masó R, González-Aguilera J, Guerra-Fonseca A, Cabrera-Lavernia J, Martí-Garcés G, Algas-Hechavarría L. Características epidemiológicas y clínicas en pacientes con diagnóstico de pancreatitis aguda en la Unidad de Cuidados Intensivos. MULTIMED [Internet]. 2018 [citado 12 Nov 2021]; 22 (3) :[aprox. 16 p.]. Disponible en: http://www.revmultimed.sld.cu/index.php/mtm/article/view/902
Berger Z, Mancilla C, Tobar E, et al. Acute pancreatitis in Chile: A multicenter study on epidemiology, etiology and clinical outcome. Retrospective analysis of clinical files. Pancreatology [Internet]. 2020 [citado 12 Nov 2021];20(4):637-643. doi:10.1016/j.pan.2020.04.016
Camacho Gutierrez R. Pancreatitis Aguda: Estado del Arte." Revista de la Sociedad Peruana de Cirugía Endoscópica [Internet]. 2022 [citado 12 Nov 2022]; 3(2). Disponible en: https://www.revista.spce.org.pe/index.php/rspce/article/download/43/44
Kempeneers MA, Issa Y, Ali UA, et al. International consensus guidelines for surgery and the timing of intervention in chronic pancreatitis. Pancreatology [Internet]. 2020 [citado 2021 Abr 21];20(2):149-157. doi:10.1016/j.pan.2019.12.005
Marín-Ríos D, Águila-Meleros O, Torres-Ajá L, Puerto-Lorenzo J. Morbilidad y mortalidad en pacientes con pancreatitis aguda. Cienfuegos, 2014-2015. Medisur [Internet]. 2019 [citado 2020 Abr 29]; 17(2):[aprox. 10 p.]. Disponible en: http://www.medisur.sld.cu/index.php/medisur/article/view/3830
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