Caracterización de pacientes con colangitis diagnosticada mediante colangiopancreatografía retrógrada endoscópica en el Hospital Universitario San Rafael de Tunja
Introduction: Cholangitis is a clinical syndrome characterized by jaundice, fever, and abdominal pain whose main cause is bile duct obstruction due to the presence of gallstones, which promotes bacterial growth. The main diagnostic method is the clinical presentation of the disease, and if it is not...
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| Format: | Online |
| Language: | spa |
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Subcomité editorial y de evaluación de obras de la Facultad de Ciencias de la Salud Editora Revista Dra. Bibiana Matilde Bernal Gómez
2024
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| Online Access: | https://revistas.uptc.edu.co/index.php/salud_sociedad/article/view/16363 |
| _version_ | 1801706824976564224 |
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| author | Barreto Noratto, Clara Patricia Limas Solano, Luis Manuel Aguilar Hernandez, Dajhanna Carolina Inagan Quemá, Alexandra Lopez Rivera, Ricardo Andres Martinez Velasco, Andres Santiago |
| author_facet | Barreto Noratto, Clara Patricia Limas Solano, Luis Manuel Aguilar Hernandez, Dajhanna Carolina Inagan Quemá, Alexandra Lopez Rivera, Ricardo Andres Martinez Velasco, Andres Santiago |
| author_sort | Barreto Noratto, Clara Patricia |
| collection | OJS |
| description | Introduction: Cholangitis is a clinical syndrome characterized by jaundice, fever, and abdominal pain whose main cause is bile duct obstruction due to the presence of gallstones, which promotes bacterial growth. The main diagnostic method is the clinical presentation of the disease, and if it is not treated quickly int the first 24 hours, the patient´s survival may be compromised.
Materials and Methods: A retrospective cross-sectional descriptive study was conducted, where the electronic medical records of patients undergoing ERCP at the San Rafael Hospital in Tunja during the period from 2020 to 2022 in whom the presence of cholangitis was endoscopically detected were analyzed.
Results: A total of 70 patients were analyzed, the sex distribution was equal. The most frequent cause of obstruction was choledocholithiasis in 68.57% of cases, the average time of evolution was 7 days, being higher in patients from rural areas with 9 days. The most common comorbidity was hypertension (42,6%). The average surgical time was 34 minutes. In addition, 96.7% of patients received antibiotic treatment. Complications were infrequent, occurring in only 13,1% of the studied population. Post-ERCP mortality rate was 8.2%, occurring more frequently in patients over 80 years old.
Conclusions: In our department the most frequent cause for the development of cholangitis is choledocholithiasis, with longer access time to ERCP to people coming from rural areas. |
| format | Online |
| id | oai:oai.revistas.uptc.edu.co:article-16363 |
| institution | Revista Salud & Sociedad |
| language | spa |
| publishDate | 2024 |
| publisher | Subcomité editorial y de evaluación de obras de la Facultad de Ciencias de la Salud Editora Revista Dra. Bibiana Matilde Bernal Gómez |
| record_format | ojs |
| spelling | oai:oai.revistas.uptc.edu.co:article-163632024-04-29T15:02:33Z Caracterización de pacientes con colangitis diagnosticada mediante colangiopancreatografía retrógrada endoscópica en el Hospital Universitario San Rafael de Tunja Barreto Noratto, Clara Patricia Limas Solano, Luis Manuel Aguilar Hernandez, Dajhanna Carolina Inagan Quemá, Alexandra Lopez Rivera, Ricardo Andres Martinez Velasco, Andres Santiago Colangiopancreatografia retrograda endoscopica colangitis comorbilidades complicaciones coledocolitiasis Coledocolitiasis Colangiopancreatografia retrograda endoscopica colangitis comorbilidades complicaciones Introduction: Cholangitis is a clinical syndrome characterized by jaundice, fever, and abdominal pain whose main cause is bile duct obstruction due to the presence of gallstones, which promotes bacterial growth. The main diagnostic method is the clinical presentation of the disease, and if it is not treated quickly int the first 24 hours, the patient´s survival may be compromised. Materials and Methods: A retrospective cross-sectional descriptive study was conducted, where the electronic medical records of patients undergoing ERCP at the San Rafael Hospital in Tunja during the period from 2020 to 2022 in whom the presence of cholangitis was endoscopically detected were analyzed. Results: A total of 70 patients were analyzed, the sex distribution was equal. The most frequent cause of obstruction was choledocholithiasis in 68.57% of cases, the average time of evolution was 7 days, being higher in patients from rural areas with 9 days. The most common comorbidity was hypertension (42,6%). The average surgical time was 34 minutes. In addition, 96.7% of patients received antibiotic treatment. Complications were infrequent, occurring in only 13,1% of the studied population. Post-ERCP mortality rate was 8.2%, occurring more frequently in patients over 80 years old. Conclusions: In our department the most frequent cause for the development of cholangitis is choledocholithiasis, with longer access time to ERCP to people coming from rural areas. Introducción: La colangitis es un síndrome clínico que consta de ictericia, fiebre y dolor abdominal cuya causa principal es la obstrucción de la vía biliar generalmente debido a la presencia de cálculos, lo que favorece el crecimiento bacteriano. El principal medio de diagnóstico es la presentación clínica de la enfermedad y de no tratarse rápidamente en las primeras 24 horas puede verse comprometida la sobrevida del paciente. Materiales y métodos: Estudio de tipo descriptivo transversal retrospectivo donde se analizaron las historias clínicas electrónicas de los pacientes sometidos a CPRE en el Hospital San Rafael de Tunja durante el periodo comprendido entre los años 2020 a 2022 en quienes se detectó endoscópicamente la presencia de colangitis. Resultados: Se analizaron un total 70 pacientes, la distribución de sexo fue equitativa. La causa más frecuente de obstrucción fue la coledocolitiasis en un 68,57% de los casos, el tiempo de evolución fue en promedio de 7 días, siendo mayor en pacientes procedentes del área rural con 9 días. La comorbilidad más frecuente fue la hipertensión arterial con 42,6%. El tiempo quirúrgico en promedio fue de 34 minutos. Además, el 96,7% de los pacientes recibió tratamiento antibiótico. Las complicaciones fueron infrecuentes presentándose solo en un 13,1 % de la población estudiada. La mortalidad post CPRE fue de 8,2% ocurriendo predominantemente en mayores de 80 años Conclusiones: En nuestro departamento la causa más frecuente para el desarrollo de colangitis es la coledocolitiasis, con tiempos superiores de acceso a CPRE a las personas provenientes del área rural. Subcomité editorial y de evaluación de obras de la Facultad de Ciencias de la Salud Editora Revista Dra. Bibiana Matilde Bernal Gómez 2024-04-29 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Texto application/pdf https://revistas.uptc.edu.co/index.php/salud_sociedad/article/view/16363 Salud & Sociedad Uptc; Vol. 8 Núm. 1 (2023): Estudios relacionados con nutrición y cáncer 2744-953X 2389-8038 spa https://revistas.uptc.edu.co/index.php/salud_sociedad/article/view/16363/14041 Colombia Derechos de autor 2023 Salud & Sociedad Uptc https://creativecommons.org/licenses/by-nc-nd/4.0/ |
| spellingShingle | Colangiopancreatografia retrograda endoscopica colangitis comorbilidades complicaciones coledocolitiasis Coledocolitiasis Colangiopancreatografia retrograda endoscopica colangitis comorbilidades complicaciones Barreto Noratto, Clara Patricia Limas Solano, Luis Manuel Aguilar Hernandez, Dajhanna Carolina Inagan Quemá, Alexandra Lopez Rivera, Ricardo Andres Martinez Velasco, Andres Santiago Caracterización de pacientes con colangitis diagnosticada mediante colangiopancreatografía retrógrada endoscópica en el Hospital Universitario San Rafael de Tunja |
| title | Caracterización de pacientes con colangitis diagnosticada mediante colangiopancreatografía retrógrada endoscópica en el Hospital Universitario San Rafael de Tunja |
| title_full | Caracterización de pacientes con colangitis diagnosticada mediante colangiopancreatografía retrógrada endoscópica en el Hospital Universitario San Rafael de Tunja |
| title_fullStr | Caracterización de pacientes con colangitis diagnosticada mediante colangiopancreatografía retrógrada endoscópica en el Hospital Universitario San Rafael de Tunja |
| title_full_unstemmed | Caracterización de pacientes con colangitis diagnosticada mediante colangiopancreatografía retrógrada endoscópica en el Hospital Universitario San Rafael de Tunja |
| title_short | Caracterización de pacientes con colangitis diagnosticada mediante colangiopancreatografía retrógrada endoscópica en el Hospital Universitario San Rafael de Tunja |
| title_sort | caracterizacion de pacientes con colangitis diagnosticada mediante colangiopancreatografia retrograda endoscopica en el hospital universitario san rafael de tunja |
| topic | Colangiopancreatografia retrograda endoscopica colangitis comorbilidades complicaciones coledocolitiasis Coledocolitiasis Colangiopancreatografia retrograda endoscopica colangitis comorbilidades complicaciones |
| topic_facet | Colangiopancreatografia retrograda endoscopica colangitis comorbilidades complicaciones coledocolitiasis Coledocolitiasis Colangiopancreatografia retrograda endoscopica colangitis comorbilidades complicaciones |
| url | https://revistas.uptc.edu.co/index.php/salud_sociedad/article/view/16363 |
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