Prevalencia y factores de riesgo asociados a vólvulo de sigma en el Hospital General de Latacunga período 2016 - 2018

Abstract

The present study proposes to determine the prevalence of the pathology and the identification of the most relevant risk factors, to propose a risk profile and an opportune clinical management. The research is descriptive, analytical, transversal, retrospective, carried out in the General Hospital Latacunga in the period 2016 - 2018 Clinical histories with sigma volvulus diagnosis were reviewed, using a database elaborated by the authors; obtained from a total of 39 histories, of which the main information to be analyzed was filiation data, showing a prevalence of 43.8% of the total cases of acute obstructive abdomen in this hospital, of which the age range of greatest presentation it is between 41 to 64 years old with 51.3%, in addition it was possible to demonstrate the existence of cases in younger ages, although it does not correspond with the literature; the male sex had a higher prevalence with 64% of the total cases and the location in the Province of Cotopaxi is related to the literature according to the altitude, being that these markers are the main risk factors to be considered in the study. In the institution in which the research was carried out, a low percentage of complications was found with 71.8% of the total, considering that the most important is the presence of postoperative bridles with 10.3%. Demonstrating the importance of risk factors in the group studied to take a closer clinical attitude. It is recommended the independent analysis of the variables, and the usage of a larger population.