Volumen 33 No. 1 (2015)

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Browsing Volumen 33 No. 1 (2015) by Author "Fernández de Córdova Rubio, Germán Lenín"

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    Comportamiento de la patología biliar aguda y su manejo en el servicio de trauma y emergencia del Hospital "Vicente Corral Moscoso" Cuenca. Enero a junio de 2014
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2015-06) Reinoso Naranjo, Jeovanni Homero; Pino Andrade, Raúl Haldo; Salamea Molina, Juan Carlos; Rodas Andrade, Juan Edgar; Fernández de Córdova Rubio, Germán Lenín; Zurita Batallas, María Cristina; Cabrera Ordóñez, Catherine Mercedes; Andrade Gómez, Jorge Andrés
    Biliary disease affects a large percentage of the adult population, for this reason its treatment now has shifted to a new paradigm of care under the concept of “Acute Care Surgery” (ACS) 1, which is characterized by prioritize the comprehensive patient assessment and the early intervention of pathology. In the Vicente Corral Moscoso Hospital (VCMH) under this model ACS and using standardized protocols, has achieved an important turn in the early treatment of biliary pathology using standard tools such as laboratory tests, radiology and if it is necessary in any case through the resolution by minimally invasive surgical technique or by conventional means. OBJECTIVE: To describe the behavior of the biliary disease and its management in the service of Trauma and Emergency of the “Vicente Corral Moscoso Hospital” during the period January-June 2014, under the model (ACS) during the period January-June 2014. METHODS: A cross-sectional study, which analyzed cases of acute cholecystitis (CAL), choledocholithiasis, acute biliary pancreatitis (ABP) and their management, registered in the digital database service of the Emergency in the Vicente Corral Moscoso Hospital, under clinical criteria, laboratory and imaging, during the period January-June 2014. RESULTS: The study involved a total of 240 patients treated in the Trauma and Emergency in the VCMH during the period January- September 2014. The pathology in order of frequency was 47% choledocholithiasis, 35% acute cholecystitis and acute biliary pancreatitis 18%, the prevalence was higher in women by 85%, 67% and 81% respectively and treatment was adapted to the corresponding pathologies. CONCLUSIONS: The implementation model of Trauma and Emergency Surgery at our institution has achieved an integrated management of the acute cholecystitis, acute biliary pancreatitis and choledocholithiasis, reducing the associated complications and avoiding the recurrence of more serious pictures