Post-surgical enterocutaneous fistulas, risk factors and complications in the Guayaquil hospital. January 2010 to December 2014.
Keywords:
fistulas, complications, risk factorsAbstract
The worldwide prevalence of this pathology varies from <10%, depending on the region, type of surgery performed, type of injury, composition (sex, age, race and ethnicity, etc.) of the population studied and the final result is peritonitis. diffuse and sepsis with mortality ranging between 1% and 15%. Its most common etiology is postoperative. In 80-90% of emergency surgeries, it tends to present an overall mortality rate of up to 15-25%, with reports of spontaneous closure in up to 80% of patients who have received clinical treatment using parenteral nutrition.
Of the total sample studied (100 patients), 40% corresponded to the highest number of admissions in 2010. Of the total sample studied (100 patients), 44% corresponded to the age group between 41 and 60 years , the mean age was 48.35 years. . Of the total of the studied sample that presented risk factors (73 patients), alcoholism is indicated more frequently in 36%, followed by malnutrition in 27%, smoking with 8%, drug addiction with 7%, HIV infection with 7%(5), intra-abdominal CA with 5%(4), lung Ca with 4%, thyroid Ca with 3%(2) and Leukemia with 3%.
Of the total sample studied (23 patients), 30% corresponded to the one with the highest type of complications, peritonitis and intra-abdominal abscess, respectively.
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