Browsing by Author "Quizhpi Paredes, Diana Elizabeth"

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Apendicitis aguda en pacientes pediátricos oncológicos en el Instituto del Cáncer SOLCA-Cuenca. 2017
(Universidad de Cuenca, 2018-12) Guerrero Quiroz, Enmanuel Isidoro; Alvarado Corral, Raúl Francisco; Bravo Muñoz, Marx Italo; Quizhpi Paredes, Diana Elizabeth; Martínez Reyes, Fray Cleiton
Background: Acute appendicitis is a surgical abdominal emergency, in which the clinical presentation and diagnosis are generally different when it occurs in oncological patients as a consequence of the immunological alteration characteristic of cancer and secondary to treatment with chemotherapy. Method: A descriptive, retrospective study was conducted from January 2011 to June 2017. The medical records of 433 patients with cancer in children under 18 years of age were reviewed; they were treated in SOLCA-Cuenca, and 12 patients who presented acute appendicitis were included. A description of its clinical, pathological and therapeutic characteristics was made. The information was included in a database and then analyzed in the portable program EXCEL and SPSSv20 Results: The average age of the patients was 9.58 years in the same proportion for men and women. The average of white blood cells was 10,500 cells per microliter and its range was between 400 and 21,600 cells per microliter. The neutrophils, platelets and hemoglobin had an average of 66%, 275,416 cells per microliter and 11g / dl respectively, with an average hospitalization of 18.5 days. A 66% of patients presented a value higher than 7 on to 10 in the Alvarado scale (method used to diagnose acute appendicitis). Acute appendicitis was more frequent (4 cases) in the maintenance phase of oncological treatment. The most common pathological results were: congestive appendix, phlegmonous, perforative, with 3 cases each. The ceftriaxone was the most used pre-surgical antibiotic (5 patients) and the combination of meropenem with metronizadol during the post-surgery period (4 patients). One patient (8.3%) died 9 days after the surgical procedure due to septic shock secondary to acute peritonitis. Conclusions: Acute appendicitis occurred in 2.7% of cancer patients. The natural history as far as clinical manifestations was presented in the oncological patients as in the non-oncological patients. The Alvarado scale was a valid diagnostic test in both groups. It is necessary to be careful with the interpretation of laboratory and image data.
Aspectos clínicos y epidemiológicos de cirugías digestivas en pacientes pediátricos del Hospital Vicente Corral Moscoso. Cuenca, Ecuador, 2018 - 2019
(Universidad de Cuenca, 2021-05-25) Quizhpi Paredes, Diana Elizabeth; Marcano Sanz, Luis Enrique
BACKGROUND: Surgical digestive disease is considered one of the main admission diagnoses in the pediatric area. OBJECTIVES: To determine the clinical and epidemiological aspects of digestive surgeries in pediatric patients at the Vicente Corral Moscoso Hospital in the city of Cuenca, Ecuador during the period from January 2018 to December 2019. METHODOLOGY: Descriptive study, the universe was pediatric patients who were admitted to the Vicente Corral Moscoso Hospital diagnosed with surgical digestive diseases (101). A form was used where the sociodemographic, clinical and surgical variables collected from the digital medical history were recorded. Descriptive analysis was performed in the SPSS 15 statistical program. RESULTS: of the 101 patients, 48.5% of the evaluated patients were infants and 55.4% were male. Abdominal pain was the most frequent clinical characteristic with 40.16%, hospital stay was 6 to 10 days in 35.6%, surgeries were elective in 55.4%. The most frequent surgical digestive pathologies were cholelithiasis (21.8%), predominantly in adolescents (86.4%); gastroesophageal reflux disease (15.8%) more frequent in infants (56.3%) and peritoneal adherence syndrome (15.8%) that predominated in infants (37.5%) and schoolchildren (31.2 %). The (83.2%) did not present any complications after surgery. CONCLUSIONS: Surgical digestive disease is one of the main reasons for pediatric consultation, cholelithiasis has become an important cause of surgery in adolescence.