Perfil clínico-epidemiológico de la pancreatitis aguda biliar Hospital Provincial General Docente Riobamba 2013-2018

Abstract

The present work was a retrospective, descriptive, and observational study, the information was obtained from the Internal Medicine Service of the Provincial General Teaching Hospital Riobamba. There are 58 patients who were diagnosed with acute pancreatitis of biliary origin in this health-institution during the period January 1, 2013 - December 30, 2018. The program chosen for the organization and analysis required was Excel. In total, 58 patients diagnosed with acute pancreatitis of biliary origin in the last 5 years were registered. The 75.86% represent to patients with ages ranging from 20 to 64 years who presented acute pancreatitis. The gender with the highest prevalence was the female with 60.19%. Furthermore,43.84% presented vesicular lithiasis as a risk factor. The main clinical manifestations were abdominal pain 100%, nausea 63.69% and vomiting 60.34%. The laboratory tests that presented alterations were amylase and lipase 100%. The most commonly used imaging tests were computed tomography with 39.65% and ultrasound with 98.27%. There were no complications representing 92%. The most frequent acute pancreatitis is of biliary cause in addition to this the female population is the most susceptible to develop this type of pathology. It was concluded that the most important cause of acute pancreatitis is of biliary origin, it is recommended to perform a correct clinical history to make the most appropriate decisions.