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2019, Number 5

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Revista Habanera de Ciencias Médicas 2019; 18 (5)

Factors associated with complications in patients with pancreatic pseudocyst. “Arnaldo Milián Castro” University Hospital, 2013-2017

Rodríguez-Rojas DA, Portal BLN, Duarte LY, Delgado RE, Morán CMN, Muñoz GL

Language: Spanish
References: 23
Page: 753-764
PDF size: 875.86 Kb.


ABSTRACT

Introduction: Pancreatic pseudocysts represent the most common cystic lesions of the pancreas. They are complications of acute and chronic pancreatitis although there are other less frequent causes such as pancreatic trauma.
Objective: To identify the influence of clinical and morphological factors involved in the evolution of patients.
Material and Methods: An observational longitudinal analytical cohort study was conducted in patients with pancreatic pseudocysts treated at “Arnaldo Milián Castro” University Hospital from 2013 to 2017.
Results: Pancreatic pseudocyst predominated in the male sex and in the age group between 40 and 60 years old (55 %) for both sexes in the sample studied; the median age was 53 years. We identified the following risk factors for the development of complications: acute pancreatitis as a cause (OR = 2,377-CI: 0,566-9,977), time of formation shorter than six weeks (OR = 2,333-CI: 0,373-14,613) and size smaller than six cm (OR = 1,800-IC: 0.259-12.502).
Conclusions: Patients over the age of 53 years, male sex, and size less than six cm had a higher relative risk of death. The risk factors for complications identified were acute pancreatitis, formation before six weeks, and size less than six cm. The time of formation and persistence of pseudocysts were longer in patients with complications, unlike the size that registered greater value for patients without complications.


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