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Revista Información Científica
versão On-line ISSN 1028-9933
Resumo
ABAD-MIRANDA, Fidel Alejandro; ELIAS-SIERRA, Reinaldo e RUBIO-GARCIA, Ana Amelia. Clinical-surgical characterization of patients with acute pancreatitis, Guantánamo 2016-2020. Rev. inf. cient. [online]. 2022, vol.101, n.5 Epub 20-Out-2022. ISSN 1028-9933.
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.
Palavras-chave : pancreatitis; surgery; diagnosis; acute abdomen.