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ISSN 1028-9933 (Electronic)

2022, Number 5

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RIC 2022; 101 (5)

Clinical-surgical characterization of patients with acute pancreatitis, Guantánamo 2016-2020

Abad-Miranda FA, Elias-Sierra R, Rubio-García AA

Language: Spanish
References: 15
Page: 1-11
PDF size: 349.67 Kb.


ABSTRACT

Introduction: Acute pancreatitis is a medical and surgical health problem at worldwide. In Guantanamo, there is not studies found related to patients with the over mentioned clinical and surgical characteristics.
Objective: Characterization, from a clinical and surgical perspective, of patients with acute pancreatitis attended at the Hospital General Docente “Dr. Agostinho Neto”, Guantánamo province, Cuba, throughout 2016 to 2020.
Method: A descriptive, retrospective and longitudinal study was carried out in 86 discharged patients. Variables used were as follow: age, sex, classification, etiology, diagnostic, treatment, pancreatitis complications, stay, evolution and, others. The clinical outcomes assumed at admission time were as follow: glycemia, calcaemia, amylasemia, abdominal ultrasound diagnosis and abdominal computed tomography.
Results: The mean age of the group studied was 53.8 ± 18.6 years. Early stage acute pancreatitis (70.9 %), interstitial edematous (90.7 %), severe pancreatitis (51.2 %) and, biliary pancreatitis (32.6 %) were more frequent. Abdominal pain in the patients studied (100 %) was the main symptom. Hyperamylasemia was present in 77.9 %. The 77.4 % of the patients showed abnormalities in ultrasound and 73.3 % at the Computed tomography of the pancreas. The most frequently performed surgical treatment was necrosectomy and closed abdomen (60.4 %). The 100 % of the patients admitted presented some complications. The term of stay in admission was 11.0±7.2 days.
Conclusions: Acute pancreatitis as a health problem commonly arises in its severe form, characterized by the presence of lithiasis in the biliary tract and the high frequency of complications.


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