Descripción de los factores demográficos, clínicos y paraclínicos y su relación con el íleo postoperatorio prolongado después de cirugía colorrectal en un hospital de alto nivel de complejidad en la ciudad de Bogotá entre 2018 a 2019
El íleo postoperatorio prolongado (IPP) es una patología que afecta la calidad de vida del paciente, aumenta el riesgo de infecciones, estancia hospitalaria y puede llevar a la muerte. Implica una carga financiera y de recursos al sistema de salud. Su origen es multifactorial, en Colombia se descono...
- Autores:
- Tipo de recurso:
- Fecha de publicación:
- 2022
- Institución:
- Universidad del Rosario
- Repositorio:
- Repositorio EdocUR - U. Rosario
- Idioma:
- spa
- OAI Identifier:
- oai:repository.urosario.edu.co:10336/36964
- Acceso en línea:
- https://doi.org/10.48713/10336_36964
https://repository.urosario.edu.co/handle/10336/36964
- Palabra clave:
- Íleo
Íleo paralitico
Seudobstrucción intestinal
Tránsito gastrointestinal
Motilidad intestinal
Cirugía colorrectal
Ciencias médicas, Medicina
Ileus
Paralytic ileus
Intestinal pseudo-obstruction
Gastrointestinal transit
Intestinal motility
Colorectal surgery
- Rights
- License
- Atribución-NoComercial-CompartirIgual 2.5 Colombia
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EDOCUR2_a85facac209ef45153f0fe063426275c |
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oai_identifier_str |
oai:repository.urosario.edu.co:10336/36964 |
network_acronym_str |
EDOCUR2 |
network_name_str |
Repositorio EdocUR - U. Rosario |
repository_id_str |
|
dc.title.es.fl_str_mv |
Descripción de los factores demográficos, clínicos y paraclínicos y su relación con el íleo postoperatorio prolongado después de cirugía colorrectal en un hospital de alto nivel de complejidad en la ciudad de Bogotá entre 2018 a 2019 |
dc.title.TranslatedTitle.es.fl_str_mv |
Description of demographic, clinical and paraclinical factors and their relationship with prolonged postoperative ileus after colorectal surgery in a high level of complexity hospital in the city of Bogotá between 2018 and 2019 |
title |
Descripción de los factores demográficos, clínicos y paraclínicos y su relación con el íleo postoperatorio prolongado después de cirugía colorrectal en un hospital de alto nivel de complejidad en la ciudad de Bogotá entre 2018 a 2019 |
spellingShingle |
Descripción de los factores demográficos, clínicos y paraclínicos y su relación con el íleo postoperatorio prolongado después de cirugía colorrectal en un hospital de alto nivel de complejidad en la ciudad de Bogotá entre 2018 a 2019 Íleo Íleo paralitico Seudobstrucción intestinal Tránsito gastrointestinal Motilidad intestinal Cirugía colorrectal Ciencias médicas, Medicina Ileus Paralytic ileus Intestinal pseudo-obstruction Gastrointestinal transit Intestinal motility Colorectal surgery |
title_short |
Descripción de los factores demográficos, clínicos y paraclínicos y su relación con el íleo postoperatorio prolongado después de cirugía colorrectal en un hospital de alto nivel de complejidad en la ciudad de Bogotá entre 2018 a 2019 |
title_full |
Descripción de los factores demográficos, clínicos y paraclínicos y su relación con el íleo postoperatorio prolongado después de cirugía colorrectal en un hospital de alto nivel de complejidad en la ciudad de Bogotá entre 2018 a 2019 |
title_fullStr |
Descripción de los factores demográficos, clínicos y paraclínicos y su relación con el íleo postoperatorio prolongado después de cirugía colorrectal en un hospital de alto nivel de complejidad en la ciudad de Bogotá entre 2018 a 2019 |
title_full_unstemmed |
Descripción de los factores demográficos, clínicos y paraclínicos y su relación con el íleo postoperatorio prolongado después de cirugía colorrectal en un hospital de alto nivel de complejidad en la ciudad de Bogotá entre 2018 a 2019 |
title_sort |
Descripción de los factores demográficos, clínicos y paraclínicos y su relación con el íleo postoperatorio prolongado después de cirugía colorrectal en un hospital de alto nivel de complejidad en la ciudad de Bogotá entre 2018 a 2019 |
dc.contributor.advisor.none.fl_str_mv |
Ballesteros Ordóñez, Ingrid Ayxa Navarro Alean, Jorge Alberto |
dc.subject.es.fl_str_mv |
Íleo Íleo paralitico Seudobstrucción intestinal Tránsito gastrointestinal Motilidad intestinal Cirugía colorrectal |
topic |
Íleo Íleo paralitico Seudobstrucción intestinal Tránsito gastrointestinal Motilidad intestinal Cirugía colorrectal Ciencias médicas, Medicina Ileus Paralytic ileus Intestinal pseudo-obstruction Gastrointestinal transit Intestinal motility Colorectal surgery |
dc.subject.ddc.es.fl_str_mv |
Ciencias médicas, Medicina |
dc.subject.keyword.es.fl_str_mv |
Ileus Paralytic ileus Intestinal pseudo-obstruction Gastrointestinal transit Intestinal motility Colorectal surgery |
description |
El íleo postoperatorio prolongado (IPP) es una patología que afecta la calidad de vida del paciente, aumenta el riesgo de infecciones, estancia hospitalaria y puede llevar a la muerte. Implica una carga financiera y de recursos al sistema de salud. Su origen es multifactorial, en Colombia se desconocen los factores asociados a esta patología. Por lo que se describieron los factores relacionados al IPP después de cirugía colorrectal. Métodos Estudio descriptivo de tipo corte transversal retrospectivo con un componente analítico, con base en la revisión de historias clínicas de pacientes llevados a cirugía colorrectal entre el 1 de enero de 2018 al 31 de diciembre de 2019. Resultados: Se incluyeron 205 pacientes, la frecuencia de IPP en la población estudiada fue de 40%(n=83), se realizó un análisis descriptivo de esta población en donde el 53% (n=44) fueron varones. El 61%(n=51) estaba entre los 60 a 79 años. El antecedente de diabetes mellitus tipo 2 se presentó en el 23% (n=19) y se encontró relación con el desarrollo de IPP (OR 2,43 IC 95% 1,09-5,41) p= 0,02. Asimismo, el 76% (n=63) requirió uso de Remifentanilo durante el intraoperatorio y también tuvo relación con el IPP OR 2,97 (IC 95%1,22-7,23) p= 0,01. Conclusión: Los factores diabetes mellitus tipo 2 y uso de opioides en el intraoperatorio tuvieron relación con el IPP, los cuales se pueden tener en cuenta en el manejo del paciente llevado a cirugía colorrectal. |
publishDate |
2022 |
dc.date.accessioned.none.fl_str_mv |
2022-11-17T16:37:28Z |
dc.date.available.none.fl_str_mv |
2022-11-17T16:37:28Z |
dc.date.created.none.fl_str_mv |
2022-10-21 |
dc.type.es.fl_str_mv |
bachelorThesis |
dc.type.coar.fl_str_mv |
http://purl.org/coar/resource_type/c_7a1f |
dc.type.document.es.fl_str_mv |
Trabajo de grado |
dc.type.spa.es.fl_str_mv |
Trabajo de grado |
dc.identifier.doi.none.fl_str_mv |
https://doi.org/10.48713/10336_36964 |
dc.identifier.uri.none.fl_str_mv |
https://repository.urosario.edu.co/handle/10336/36964 |
url |
https://doi.org/10.48713/10336_36964 https://repository.urosario.edu.co/handle/10336/36964 |
dc.language.iso.es.fl_str_mv |
spa |
language |
spa |
dc.rights.*.fl_str_mv |
Atribución-NoComercial-CompartirIgual 2.5 Colombia |
dc.rights.coar.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
dc.rights.acceso.es.fl_str_mv |
Abierto (Texto Completo) |
dc.rights.uri.*.fl_str_mv |
http://creativecommons.org/licenses/by-nc-sa/2.5/co/ |
rights_invalid_str_mv |
Atribución-NoComercial-CompartirIgual 2.5 Colombia Abierto (Texto Completo) http://creativecommons.org/licenses/by-nc-sa/2.5/co/ http://purl.org/coar/access_right/c_abf2 |
dc.format.extent.es.fl_str_mv |
57 pp |
dc.format.mimetype.es.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidad del Rosario |
dc.publisher.es.fl_str_mv |
Universidad CES. Facultad de Medicina |
dc.publisher.department.none.fl_str_mv |
Escuela de Medicina y Ciencias de la Salud |
dc.publisher.program.none.fl_str_mv |
Especialización en Epidemiología |
publisher.none.fl_str_mv |
Universidad del Rosario |
institution |
Universidad del Rosario |
dc.source.bibliographicCitation.none.fl_str_mv |
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EuroSurg Collaborative; Chapman, Sj; Clerc, D; Blanco‐Colino, R; Otto, A; Nepogodiev, D; Pagano, G; Schaeff, V; Soares, A; Zaffaroni, G; Žebrák, R; Hodson, J; Blanco‐Colino, R; Chapman, Sj; Glasbey, Jc; Pata, P; Pellino, G; Sgrò, A; Soares, A; Elst, T; Van Straten, S; Knowles, Ch; Nepogodiev, D; Hodson, J; Borakati, A; Bath, Mf; Yasin, Ih; Mclean, K; Arthur, T; Kovacevic, M; Delibegovic, S; Karamanliev, M; Swamad, M; Žebrák, R; Paramasivam, R; Martensen, A; Larsen, Hm; Rädeker, L; Frey, Pe; Kechagias, A; Venara, A; Duchalais, E; Ioannidis, A; Pata, F; Pellino, G; Pasquali, S; Sgrò, A; Simioni, A; Farina, V; Podda, M; Lorenzon, L; ItSURG; Schaeff, V; Otto, A; Jakubauskas, M; Elst, Tr; Chu, M; Fagan, Pvb; Wells, Ci; Alagoa João, A; Soares, A; Juloski, J; Clerc, D; Ciubotaru, C; Popescu, S; Yanishev, A; Lee, S; Ozkan, Bb; Yagız Sen, A; Aktas, Mk; Baki, Be; Yüksek, B; Glasbey, Jc; Kamarajah, S; Mclean, K; Borakati, A; Yasin, Ih; Khaw, Ra; Mills, E; Goodson, R; Thakral, N; STARSurg Collaborative; 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Sánchez Gallego, Luis Alfonso; Obando Rodallega, Alexander; Barbosa, Ronel; Medellín Abueta, Anwar Yair; Martínez Jaramillo, Carlos Edmundo; Senejoa Nuñez, Nairo Javier; Mateus Barbosa, Lina María; Ibañez Varela, Heinz Orlando (2018) Cirugía para enfermedad colo-rectal vía laparoscópica por el servicio de coloproctología del Hospital Militar Central (2005 – 2015). En: Revista Colombiana de Gastroenterología. Vol. 33; No. 1; pp. 8 2500-7440, 0120-9957; Consultado en: 2022/06/08/02:14:59. Disponible en: https://www.revistagastrocol.com/index.php/rcg/article/view/228. Disponible en: 10.22516/25007440.228. Molina Meneses, Sandra Patricia; Palacios Fuenmayor, Luis Jose; Castaño LLano, Rodrigo de Jesus; Mejia Gallego, Jorge Ivan; Sánchez Patiño, Lucy Astrid (2021) Determinación de los factores predictivos para complicaciones en cirugía electiva de pacientes con cáncer colorrectal. Experiencia del Instituto de Cancerología Las Américas Auna (Colombia, 2016-2019). 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Disponible en: http://ceju.online/journal/2014/morbidity-postoperative-ileus-prostate-cancer-robot-assisted-radical-prostatectomy-309.php. Disponible en: 10.5173/ceju.2014.01.art4. Wattchow, David; Heitmann, Paul; Smolilo, David; Spencer, Nick J.; Parker, Dominic; Hibberd, Timothy; Brookes, Simon S. J.; Dinning, Phil G.; Costa, Marcello (2021) Postoperative ileus—An ongoing conundrum. En: Neurogastroenterology & Motility. Vol. 33; No. 5; 1350-1925, 1365-2982; Consultado en: 2022/06/08/03:09:26. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/nmo.14046. Disponible en: 10.1111/nmo.14046. Blank, Jacqueline J.; Berger, Nicholas G.; Dux, Justin P.; Ali, Fadwa; Ludwig, Kirk A.; Peterson, Carrie Y. (2018) The impact of intravenous acetaminophen on pain after abdominal surgery: a meta-analysis. En: Journal of Surgical Research. Vol. 227; pp. 234 - 245; 00224804; Consultado en: 2022/06/08/03:13:11. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0022480418301185. 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Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/1440-1681.12220. Disponible en: 10.1111/1440-1681.12220. Hiranyakas, Art; Bashankaev, Badma; Seo, Christina J.; Khaikin, Marat; Wexner, Steven D. (2011) Epidemiology, Pathophysiology and Medical Management of Postoperative Ileus in the Elderly:. En: Drugs & Aging. Vol. 28; No. 2; pp. 107 - 118; 1170-229X; Consultado en: 2022/07/18/06:18:50. Disponible en: http://link.springer.com/10.2165/11586170-000000000-00000. Disponible en: 10.2165/11586170-000000000-00000. Vather, Ryash; Bissett, Ian P. (2013) Risk factors for the development of prolonged post-operative ileus following elective colorectal surgery. En: International Journal of Colorectal Disease. Vol. 28; No. 10; pp. 1385 - 1391; 0179-1958, 1432-1262; Consultado en: 2022/07/18/06:19:16. Disponible en: http://link.springer.com/10.1007/s00384-013-1704-y. Disponible en: 10.1007/s00384-013-1704-y. Grass, Fabian; Slieker, Juliette; Jurt, Jonas; Kummer, Anne; Solà, Josep; Hahnloser, Dieter; Demartines, Nicolas; Hübner, Martin (2017) Postoperative ileus in an enhanced recovery pathway—a retrospective cohort study. En: International Journal of Colorectal Disease. Vol. 32; No. 5; pp. 675 - 681; 0179-1958, 1432-1262; Consultado en: 2022/07/18/09:28:36. Disponible en: http://link.springer.com/10.1007/s00384-017-2789-5. Disponible en: 10.1007/s00384-017-2789-5. |
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Ballesteros Ordóñez, Ingrid Ayxaaaac7456-2e30-4fae-9933-ca0f4c0d8a5b600Navarro Alean, Jorge Albertof4c4c915-bb6b-4139-b2de-96cf716c3f73600Torres Valencia, AlexandraEspecialista en Epidemiología (en Convenio con el CES)EspecializaciónFull timedf57070e-bb0e-4d0a-b46f-e8e2869819d06002022-11-17T16:37:28Z2022-11-17T16:37:28Z2022-10-21El íleo postoperatorio prolongado (IPP) es una patología que afecta la calidad de vida del paciente, aumenta el riesgo de infecciones, estancia hospitalaria y puede llevar a la muerte. Implica una carga financiera y de recursos al sistema de salud. Su origen es multifactorial, en Colombia se desconocen los factores asociados a esta patología. Por lo que se describieron los factores relacionados al IPP después de cirugía colorrectal. Métodos Estudio descriptivo de tipo corte transversal retrospectivo con un componente analítico, con base en la revisión de historias clínicas de pacientes llevados a cirugía colorrectal entre el 1 de enero de 2018 al 31 de diciembre de 2019. Resultados: Se incluyeron 205 pacientes, la frecuencia de IPP en la población estudiada fue de 40%(n=83), se realizó un análisis descriptivo de esta población en donde el 53% (n=44) fueron varones. El 61%(n=51) estaba entre los 60 a 79 años. El antecedente de diabetes mellitus tipo 2 se presentó en el 23% (n=19) y se encontró relación con el desarrollo de IPP (OR 2,43 IC 95% 1,09-5,41) p= 0,02. Asimismo, el 76% (n=63) requirió uso de Remifentanilo durante el intraoperatorio y también tuvo relación con el IPP OR 2,97 (IC 95%1,22-7,23) p= 0,01. Conclusión: Los factores diabetes mellitus tipo 2 y uso de opioides en el intraoperatorio tuvieron relación con el IPP, los cuales se pueden tener en cuenta en el manejo del paciente llevado a cirugía colorrectal.The prolonged postoperative ileus (PPI) is a pathology that affects quality life of the patient because increases the infection risk, hospital stay, and eventually causes death. It's also a financial burden to health system resources. Its origin is multifactorial, in Colombia the factors for this pathology are unknown. Some of these factors were described as the associate with PPI after a colorectal surgery. Methods Retrospective cross-sectional descriptive study with an analytical component, founded in the clinical records review of patients with a colorectal surgery from January 1th 2018 to December 31th 2019. Results Were including 205 patients, the frequency of PPI on population studied was of 40% (n=83). An analytic descriptive of these population was made about 53% (n=44) were men. Of that sample a 61% (n=51) were between 60 to 79 years old. The type 2 diabetes mellitus was present on the 23% (n=19) of patients and it was found related with PPI develop (OR 2,43 IC 95% 1,09-5,41) p= 0,02. As the same, the 76% required remifentanil during the intraoperative procedure and was related with PPI OR 2,97 (IC 95%1,22-7,23) p= 0,01. Conclusion: the Type 2 diabetes mellitus and using opioids during intraoperative procedure were related with PPI as a factors, could be including in a management of the patient undergoing a colorectal surgery57 ppapplication/pdfhttps://doi.org/10.48713/10336_36964https://repository.urosario.edu.co/handle/10336/36964spaUniversidad del RosarioUniversidad CES. Facultad de MedicinaEscuela de Medicina y Ciencias de la SaludEspecialización en EpidemiologíaAtribución-NoComercial-CompartirIgual 2.5 ColombiaAbierto (Texto Completo)EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.http://creativecommons.org/licenses/by-nc-sa/2.5/co/http://purl.org/coar/access_right/c_abf2Vather, Ryash; Josephson, Rachel; Jaung, Rebekah; Robertson, Jason; Bissett, Ian (2015) Development of a risk stratification system for the occurrence of prolonged postoperative ileus after colorectal surgery: A prospective risk factor analysis. En: Surgery. Vol. 157; No. 4; pp. 764 - 773; 00396060; Consultado en: 2018/11/02/06:31:11. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0039606014007922. Disponible en: 10.1016/j.surg.2014.12.005.Juárez-Parra, M.A.; Carmona-Cantú, J.; González-Cano, J.R.; Arana-Garza, S.; Treviño-Frutos, R.J. (2015) Factores de riesgo asociados a íleo posquirúrgico prolongado en pacientes sometidos a resección electiva de colon. En: Revista de Gastroenterología de México. Vol. 80; No. 4; pp. 260 - 266; 03750906; Consultado en: 2018/11/02/06:31:13. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0375090615001007. Disponible en: 10.1016/j.rgmx.2015.08.002.Jiménez, William Andrés; Domínguez, Luis Carlos; La recuperación posoperatoria acelerada (fast track) disminuye la estancia hospitalaria en cirugía gastrointestinal alta: revisión sistemática de la literatura. pp. 9Venara, A.; Neunlist, M.; Slim, K.; Barbieux, J.; Colas, P.A.; Hamy, A.; Meurette, G. (2016) Postoperative ileus: Pathophysiology, incidence, and prevention. En: Journal of Visceral Surgery. Vol. 153; No. 6; pp. 439 - 446; 18787886; Consultado en: 2018/11/02/06:31:17. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S1878788616301266. Disponible en: 10.1016/j.jviscsurg.2016.08.010.Sugawara, Kotaro; Kawaguchi, Yoshikuni; Nomura, Yukihiro; Suka, Yusuke; Kawasaki, Keishi; Uemura, Yukari; Koike, Daisuke; Nagai, Motoki; Furuya, Takatoshi; Tanaka, Nobutaka (2018) Perioperative Factors Predicting Prolonged Postoperative Ileus After Major Abdominal Surgery. En: Journal of Gastrointestinal Surgery. Vol. 22; No. 3; pp. 508 - 515; 1091-255X, 1873-4626; Consultado en: 2018/11/02/06:31:20. Disponible en: http://link.springer.com/10.1007/s11605-017-3622-8. Disponible en: 10.1007/s11605-017-3622-8.Vather, Ryash; Trivedi, Sid; Bissett, Ian (2013) Defining Postoperative Ileus: Results of a Systematic Review and Global Survey. En: Journal of Gastrointestinal Surgery. Vol. 17; No. 5; pp. 962 - 972; 1091-255X, 1873-4626; Consultado en: 2018/11/02/06:31:23. Disponible en: http://link.springer.com/10.1007/s11605-013-2148-y. Disponible en: 10.1007/s11605-013-2148-y.Moghadamyeghaneh, Zhobin; Hwang, Grace S.; Hanna, Mark H.; Phelan, Michael; Carmichael, Joseph C.; Mills, Steven; Pigazzi, Alessio; Stamos, Michael J. (2016) Risk factors for prolonged ileus following colon surgery. En: Surgical Endoscopy. Vol. 30; No. 2; pp. 603 - 609; 0930-2794, 1432-2218; Consultado en: 2018/11/06/14:46:59. Disponible en: http://link.springer.com/10.1007/s00464-015-4247-1. Disponible en: 10.1007/s00464-015-4247-1.Chapuis, Pierre H.; Bokey, Les; Keshava, Anil; Rickard, Matthew J.F.X.; Stewart, Peter; Young, Christopher J.; Dent, Owen F. (2013) Risk Factors for Prolonged Ileus After Resection of Colorectal Cancer: An Observational Study of 2400 Consecutive Patients. En: Annals of Surgery. Vol. 257; No. 5; pp. 909 - 915; 0003-4932; Consultado en: 2018/11/06/14:47:01. Disponible en: http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00000658-201305000-00019. 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