Características de pacientes con enfermedad hemorroidal atendidos el año 2018, servicio de Coloproctología Hospital Vicente corral Moscoso Cuenca – Ecuador 2019

Abstract

Background: hemorrhoids are one of the most common diseases attended in the outpatient’s service of coloproctology and gastroenterology. Despite its high prevalence of piles, there is not enough information to define the presentation characteristics in our population.

Objective: to describe characteristics presented by patients with hemorrhoidal disease at the coloproctology department of Vicente Corral Moscoso Hospital, 2018.

Methodology: descriptive, retrospective study; clinical records information was collected on registration forms; It was tabulated in Microsoft Excel software and analyzed in SPSS version 24.0. The results were presented using frequency and percentage tables in addition to measures of central tendency and dispersion for the quantitative variable (age).

Results: of 288 cases studied, 60.11% were women, 59.03% of them diagnosed in the period between 40 and 64 years, the average age was 49.5 years, 67.36% of patients came from the urban area. Poor fiber consumption was found in 74.7% of them, 26.8% were smokers and only 19.79% performed adequate physical activity. 53.82% of patients had no comorbidities; and the remaining 133 patients had high blood pressure (10.06%), hypothyroidism (9.72%) and diabetes mellitus (7.29%). According to the type of hemorrhoids were internal (42.36%), mixed (39.24%) and external (18.4%); according to the degree of internal hemorrhoid, grade II (46.81%), III (29.79%), I (21.7%) and IV (1.7%) were obtained. Regarding the clinical picture, anal pain (80.55%), transanal bleeding (72.22%), constipation (70.13%) were found.

Conclusions: hemorrhoids are common in adults between 40 and 64 years old, with unhealthy lifestyles and diets. Internal hemorrhoids, grade II is very common in our population and their presentation clinic usually includes pain, transanal bleeding and constipation.