Clinical-surgical characterization of patients with acute pancreatitis. Cienfuegos, 2018- 2020

<p><strong>Background:</strong> acute pancreatitis is a serious nosological entity with high morbidity and mortality. It requires systematic updating in terms of clinical and therapeutic aspects for proper management.<br /><strong>Objective:</strong> to determine...

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Main Authors: Jorge Luis Estepa Ramos, Tahiluma Santana Pedraza, Jorge Luis Estepa Pérez, Yudis Acea Paredes, Roberto Pérez García
Format: Article
Language:Spanish
Published: Centro Provincial de Información de Ciencias Médicas. Cienfuegos 2021-04-01
Series:Medisur
Subjects:
Online Access:http://medisur.sld.cu/index.php/medisur/article/view/5012
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spelling doaj-0b6efd65784546a7a6019517e72e39762021-08-27T02:17:05ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2021-04-011922452591982Clinical-surgical characterization of patients with acute pancreatitis. Cienfuegos, 2018- 2020Jorge Luis Estepa Ramos0Tahiluma Santana Pedraza1Jorge Luis Estepa Pérez2Yudis Acea Paredes3Roberto Pérez García4Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos. Cuba.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos. Cuba.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos. Cuba.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos. Cuba.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos. Cuba.<p><strong>Background:</strong> acute pancreatitis is a serious nosological entity with high morbidity and mortality. It requires systematic updating in terms of clinical and therapeutic aspects for proper management.<br /><strong>Objective:</strong> to determine the clinical-surgical characteristics of patients with acute pancreatitis.<br /><strong>Methods:</strong> case series research on patients admitted with a diagnosis of acute pancreatitis at the Dr. Gustavo Aldereguía Lima University General Hospital, from June the 1st, 2018 to May the 31st, 2020. Age, sex were analyzed , toxic habits, comorbidities, clinical manifestations, laboratory variables (serum amylase), ultrasonographic findings, tomographic results according to Balthazar criteria, severity index determined by computerized axial tomography, classification according to severity, place of admission, hospital stay, type of treatment , evolution and complications.<br /><strong>Results:</strong> male patients aged 60 years old and over predominated; alcohol consumption and comorbidity not associated with acute pancreatitis, abdominal pain and vomiting were the most observed clinical variables. In most patients, serum amylase was pathological; Gallstones prevailed as an ultrasound finding; most of the patients presented mild pancreatitis. Medical treatment was the most indicated, cholecystectomy the most used surgical procedure. Most of the patients evolved satisfactorily.<br /><strong>Conclusions:</strong> severe acute pancreatitis is a highly prevalent disease. It should be classified early with severity scales to establish adequate management that allows comprehensive treatment, from advanced support in the intensive care unit to nutritional and surgical treatment.</p>http://medisur.sld.cu/index.php/medisur/article/view/5012pancreatitisdiagnósticomortalidadmanejo de la enfermedad
collection DOAJ
language Spanish
format Article
sources DOAJ
author Jorge Luis Estepa Ramos
Tahiluma Santana Pedraza
Jorge Luis Estepa Pérez
Yudis Acea Paredes
Roberto Pérez García
spellingShingle Jorge Luis Estepa Ramos
Tahiluma Santana Pedraza
Jorge Luis Estepa Pérez
Yudis Acea Paredes
Roberto Pérez García
Clinical-surgical characterization of patients with acute pancreatitis. Cienfuegos, 2018- 2020
Medisur
pancreatitis
diagnóstico
mortalidad
manejo de la enfermedad
author_facet Jorge Luis Estepa Ramos
Tahiluma Santana Pedraza
Jorge Luis Estepa Pérez
Yudis Acea Paredes
Roberto Pérez García
author_sort Jorge Luis Estepa Ramos
title Clinical-surgical characterization of patients with acute pancreatitis. Cienfuegos, 2018- 2020
title_short Clinical-surgical characterization of patients with acute pancreatitis. Cienfuegos, 2018- 2020
title_full Clinical-surgical characterization of patients with acute pancreatitis. Cienfuegos, 2018- 2020
title_fullStr Clinical-surgical characterization of patients with acute pancreatitis. Cienfuegos, 2018- 2020
title_full_unstemmed Clinical-surgical characterization of patients with acute pancreatitis. Cienfuegos, 2018- 2020
title_sort clinical-surgical characterization of patients with acute pancreatitis. cienfuegos, 2018- 2020
publisher Centro Provincial de Información de Ciencias Médicas. Cienfuegos
series Medisur
issn 1727-897X
publishDate 2021-04-01
description <p><strong>Background:</strong> acute pancreatitis is a serious nosological entity with high morbidity and mortality. It requires systematic updating in terms of clinical and therapeutic aspects for proper management.<br /><strong>Objective:</strong> to determine the clinical-surgical characteristics of patients with acute pancreatitis.<br /><strong>Methods:</strong> case series research on patients admitted with a diagnosis of acute pancreatitis at the Dr. Gustavo Aldereguía Lima University General Hospital, from June the 1st, 2018 to May the 31st, 2020. Age, sex were analyzed , toxic habits, comorbidities, clinical manifestations, laboratory variables (serum amylase), ultrasonographic findings, tomographic results according to Balthazar criteria, severity index determined by computerized axial tomography, classification according to severity, place of admission, hospital stay, type of treatment , evolution and complications.<br /><strong>Results:</strong> male patients aged 60 years old and over predominated; alcohol consumption and comorbidity not associated with acute pancreatitis, abdominal pain and vomiting were the most observed clinical variables. In most patients, serum amylase was pathological; Gallstones prevailed as an ultrasound finding; most of the patients presented mild pancreatitis. Medical treatment was the most indicated, cholecystectomy the most used surgical procedure. Most of the patients evolved satisfactorily.<br /><strong>Conclusions:</strong> severe acute pancreatitis is a highly prevalent disease. It should be classified early with severity scales to establish adequate management that allows comprehensive treatment, from advanced support in the intensive care unit to nutritional and surgical treatment.</p>
topic pancreatitis
diagnóstico
mortalidad
manejo de la enfermedad
url http://medisur.sld.cu/index.php/medisur/article/view/5012
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