Factores asociados a complicaciones post quirúrgicas en pacientes adultos con obstrucción intestinal mecánica en Bogotá, Colombia, período 2008 - 2014
Introducción: La obstrucción intestinal es una patología de alta prevalencia e impacto en los servicios de cirugía general a nivel mundial. El manejo de esta entidad puede ser médico o quirúrgico. Cuando se requiere intervención quirúrgica, se busca evitar el desarrollo de isquemia intestinal y rese...
- Autores:
- Tipo de recurso:
- Fecha de publicación:
- 2014
- Institución:
- Universidad del Rosario
- Repositorio:
- Repositorio EdocUR - U. Rosario
- Idioma:
- spa
- OAI Identifier:
- oai:repository.urosario.edu.co:10336/10525
- Acceso en línea:
- https://doi.org/10.48713/10336_10525
http://repository.urosario.edu.co/handle/10336/10525
- Palabra clave:
- Obstrucción Intestinal - Complicaciones postoperatorias – Dilatación intestinal - Adherencias
Enfermedades
Obstrucción intestinal
Epidemiología
Contenido digestivo
Cirugía
Intestinal obstruction - Postoperative complications - Dilated bowel - Bowel adhesion
- Rights
- License
- Abierto (Texto completo)
| id |
EDOCUR2_f1260c48b1ef2faa40e45a4e37c3fb85 |
|---|---|
| oai_identifier_str |
oai:repository.urosario.edu.co:10336/10525 |
| network_acronym_str |
EDOCUR2 |
| network_name_str |
Repositorio EdocUR - U. Rosario |
| repository_id_str |
|
| dc.title.spa.fl_str_mv |
Factores asociados a complicaciones post quirúrgicas en pacientes adultos con obstrucción intestinal mecánica en Bogotá, Colombia, período 2008 - 2014 |
| title |
Factores asociados a complicaciones post quirúrgicas en pacientes adultos con obstrucción intestinal mecánica en Bogotá, Colombia, período 2008 - 2014 |
| spellingShingle |
Factores asociados a complicaciones post quirúrgicas en pacientes adultos con obstrucción intestinal mecánica en Bogotá, Colombia, período 2008 - 2014 Obstrucción Intestinal - Complicaciones postoperatorias – Dilatación intestinal - Adherencias Enfermedades Obstrucción intestinal Epidemiología Contenido digestivo Cirugía Intestinal obstruction - Postoperative complications - Dilated bowel - Bowel adhesion |
| title_short |
Factores asociados a complicaciones post quirúrgicas en pacientes adultos con obstrucción intestinal mecánica en Bogotá, Colombia, período 2008 - 2014 |
| title_full |
Factores asociados a complicaciones post quirúrgicas en pacientes adultos con obstrucción intestinal mecánica en Bogotá, Colombia, período 2008 - 2014 |
| title_fullStr |
Factores asociados a complicaciones post quirúrgicas en pacientes adultos con obstrucción intestinal mecánica en Bogotá, Colombia, período 2008 - 2014 |
| title_full_unstemmed |
Factores asociados a complicaciones post quirúrgicas en pacientes adultos con obstrucción intestinal mecánica en Bogotá, Colombia, período 2008 - 2014 |
| title_sort |
Factores asociados a complicaciones post quirúrgicas en pacientes adultos con obstrucción intestinal mecánica en Bogotá, Colombia, período 2008 - 2014 |
| dc.contributor.advisor.none.fl_str_mv |
Trillos Peña, Carlos Enrique |
| dc.subject.spa.fl_str_mv |
Obstrucción Intestinal - Complicaciones postoperatorias – Dilatación intestinal - Adherencias |
| topic |
Obstrucción Intestinal - Complicaciones postoperatorias – Dilatación intestinal - Adherencias Enfermedades Obstrucción intestinal Epidemiología Contenido digestivo Cirugía Intestinal obstruction - Postoperative complications - Dilated bowel - Bowel adhesion |
| dc.subject.ddc.none.fl_str_mv |
Enfermedades |
| dc.subject.decs.spa.fl_str_mv |
Obstrucción intestinal Epidemiología Contenido digestivo Cirugía |
| dc.subject.keyword.eng.fl_str_mv |
Intestinal obstruction - Postoperative complications - Dilated bowel - Bowel adhesion |
| description |
Introducción: La obstrucción intestinal es una patología de alta prevalencia e impacto en los servicios de cirugía general a nivel mundial. El manejo de esta entidad puede ser médico o quirúrgico. Cuando se requiere intervención quirúrgica, se busca evitar el desarrollo de isquemia intestinal y resecciones intestinales; durante el postoperatorio, pueden existir complicaciones. El objetivo de este estudio es identificar los factores asociados al desarrollo de complicaciones post operatorias en un grupo de pacientes con obstrucción intestinal mecánica llevados a manejo quirúrgico. Metodología: Estudio analítico tipo casos y controles en un grupo de pacientes con diagnóstico de obstrucción intestinal mecánica llevados a manejo quirúrgico de su patología. Los casos corresponden a los pacientes con complicaciones postoperatorias y los controles aquellos que no presentaron complicaciones. Se identificaron factores asociados a complicación post operatoria mediante modelos estadísticos bivariados y multivariados de regresión logística para factores como edad, sexo, antecedente quirúrgico, presentación clínica, paraclínica y diagnóstico postoperatorio de malignidad, entre otras. Resultados: Se identificaron un total de 138 pacientes (54 casos y 129 controles). Los rangos de edad entre 55-66 años y mayor de 66 años fueron asociados con complicaciones postoperatorias (OR 3,87 IC95% 1,58-9,50 y OR 3,62 IC95% 1,45-9,08 respectivamente). El déficit de base inferior a 5 mEq/litro se relaciona con complicaciones postoperatorias (OR 2,64 IC95% 1.33-5,25) Otras pruebas de laboratorio, características radiológicas, hallazgos de malignidad en el postoperatorio y la evolución de los pacientes no fueron asociados con complicaciones. Conclusiones: Las disminución de las complicaciones durante el manejo quirúrgico de obstrucción intestinal mecánica continúa siendo un reto para la cirugía general. Factores no modificables como edad avanzada y modificables como el equilibrio ácido base deben ser tenidos en cuenta dada su correlación en el desarrollo de complicaciones postoperatorias. |
| publishDate |
2014 |
| dc.date.created.none.fl_str_mv |
2014-11-03 |
| dc.date.issued.none.fl_str_mv |
2014 |
| dc.date.accessioned.none.fl_str_mv |
2015-06-09T18:46:07Z |
| dc.date.available.none.fl_str_mv |
2015-06-09T18:46:07Z |
| dc.type.eng.fl_str_mv |
bachelorThesis |
| dc.type.coar.fl_str_mv |
http://purl.org/coar/resource_type/c_7a1f |
| dc.type.spa.spa.fl_str_mv |
Trabajo de grado |
| dc.identifier.doi.none.fl_str_mv |
https://doi.org/10.48713/10336_10525 |
| dc.identifier.uri.none.fl_str_mv |
http://repository.urosario.edu.co/handle/10336/10525 |
| url |
https://doi.org/10.48713/10336_10525 http://repository.urosario.edu.co/handle/10336/10525 |
| dc.language.iso.none.fl_str_mv |
spa |
| language |
spa |
| dc.rights.coar.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
| dc.rights.acceso.spa.fl_str_mv |
Abierto (Texto completo) |
| rights_invalid_str_mv |
Abierto (Texto completo) http://purl.org/coar/access_right/c_abf2 |
| dc.format.mimetype.none.fl_str_mv |
application/pdf |
| dc.publisher.spa.fl_str_mv |
Universidad del Rosario |
| dc.publisher.department.spa.fl_str_mv |
Facultad de medicina |
| institution |
Universidad del Rosario |
| dc.source.bibliographicCitation.none.fl_str_mv |
Raphael P, Wasila O, Lorenzo A, Evelin M, Philippe M, et al. Clinical outcome in acute small bowel obstruction after surgical or conservative management. World Journal of Surgery. 2014. DOI 10.1007/s00268-0 14-2733-6 Thijs R, Bart AC, Ignace HJT. Challenges in diagnosis adhesive small bowel obstruction. World Journal of Gastroenterology. 2013 November 21; 19 (43): 7489-7493. Ellis H (1982). The causes and prevention of intestinal adhesions. Br J Surg 69: 241-243. Martin D.Zielinski, Patrick W. Eiken, Michael P Bannon, et al. Small Bowel Obstruction- Who needs an operation? A Multivariate Prediction Model. World J Surg (2010) 34:910–919. Landercasper J, Cogbill TH, Merry WH et al (1993) Long term outcome after hospitalization for small bowel obstruction. Arch Surg 128: 765-770 discussion 770-761. Irvine TT. Abdominal pain: a surgical audit of 1190 emergency admissions. Br J Surg. 1989;76:1121–5 Foster NM, McGory ML, Zingmond DS, Ko CY. Small bowel obstruction: a population-based appraisal. J Am Coll Surg. 2006;203:170–6 Treves F. Intestinal obstruction: its varieties, with their pathology, diagnosis and treatment. Ed. H.C. Lea´s Son and Co., 1884. Wangensteen OH and Paine JR. Treatement of acute intestinal ostruction by suction with a doudenal tube. JAMA 101:1532, 1933. Paine JR, Carlson HA and Wangensteen OH. Postoperative control of distensión, nausea and vomiting; clinical study with reference to employment of narcotics, cathartics and nasal catheter suction-siphinage. JAMA 100, 1933. Shelton BK. Intestinal obstruction. AACN Clinical Issues, 1999 Nov;10(4):478-491. Miller G, Boman J, Shrier I, Gordon PH. Etiology of small bowel obstruction. American Journal of Surgery. 2000 Jul; 180(1):33-6. Parker MC, Ellis H, Moran BJ, et al. Postoperative adhesions: ten-year follow-up of 12,584 patients undergoing lower abdominal surgery. Diseases of Colon and Rectum 2001;44(6): 822–9 Ellis H, Moran BJ, Thompson JN, et al. Adhesion-related hospital readmissions after abdominal and pelvic surgery: a retrospective cohort study. Lancet 1999;353:1476–80. Galinos Barmparas & Bernardino C. Branco & Beat Schnüriger & Lydia Lam & Kenji Inaba & Demetrios Demetriades. The Incidence and Risk Factors of Post-Laparotomy Adhesive Small Bowel Obstruction. Journal Of Gastrointestinal Surgery, 2010. 14: 1619-1628. Whang EE, Ashley SW, Zinner MJ. Small intestine. En: Brunicardi FC, Andersen DK, Billiar TR, et al, eds. Schwartz’s Principles of Surgery. New York: McGraw-Hill, 8th edn, 2005:1017-54. (Seccion: Small-Bowel Obstruction 1027-1031) Soybel DI. Ileus and bowel obstruction. En: Greenfield LJ, ed. Surgery Scientific Principles and Practice. Philadelphia: Lippincott Williams & Wilkins, 3rd edn, 2001:798-9 Evers BM. Small intestine. En: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. Philadelphia: Elsevier Saunders, 17th edn, 2004:1323-77. Fevang BT, Fevang J, Stangeland L, Soreide O, Svanes K, Viste A. Complications and death after surgical treatment of small bowel obstruction: a 35-year institutional experience. Ann Surg. 2000; 231:529–37 Moshe Schein, Ahmad Assalia. Small Bowel Obstruction—Who Needs an Operation?. Invited Comentary. World Journal of Surgery (2010) 34:920–922 Kössi J, Salminen P, Rantala A, et al. Population-based study of the surgical workload and economic impact of bowel obstruction caused by postoperative adhesions. British Journal of Surgery 2003;90:1441-4 Diaz J, Bokhari F, Mowery N, Acosta J, et al. Guidelines for the management of small bowel obstruction. EAST Practice management guidelines. The Journal Of Trauma, injury, infection and critical care. 2008;64: 165-1664. Abujudeh H, Kaewlai R, McMahon P, Binder W, et al. Abdominopelvic CT Increases Diagnostic Certainty and Guides Management Decisions: A Prospective Investigation of 584 Patients in a Large Academic Medical Center. American Journal of Radiology, 2011. 196: 238-243. Colon MJ, Telem DA, Wong D, et al. The relevance of transition zones on computed tomography in the management of small bowel obstruction. Surgery 2010;147:373-7 Jones K, Mangram A, Lebron R, Nadalo L, et al. Can a computed tomography scoring system predict the need for surgery in small-bowel obstruction? The American Journal of Surgery 194 (2007) 780–784 Shannon P. Sheedy, MD Frank Earnest IV, MD Joel G. Fletcher, MD Jeff L. Fidler, MD, Tanya L. Hoskin, MS. CT of Small-Bowel Ischemia Associated with Obstruction in Emergency Department Patients: Diagnostic Performance Evaluation. Radiology: Volume 241: Number 3—December 2006. 729-736. Fevang BT, Jensen D, Svanes K, Viste A. Early Operation or Conservative Management of Patients with Small Bowel Obstruction. European Journal of Surgery 2002. 168:475-481. B. C. Branco, G. Barmparas, B. Schnuriger, K. Inaba, L. S. Chan and D. Demetriades. Systematic review and meta-analysis of the diagnostic and therapeutic role of water-soluble contrast agent in adhesive small bowel obstruction. British Journal of Surgery 2010; 97: 470–478. Abbas S, Bissett IP, Parry BR. Oral water soluble contrast for the management of adhesive small bowel obstruction. Cochrane Database of Systematic Reviews 2007, Issue 3. Art. No.: CD004651. DOI: 10.1002/14651858.CD004651.pub3. B. T. Fevang, D. Jensen, J. Fevang, K. Søndenaa, K. Øvrebø, O. Røkke, H. Gislasson, K. Svanes and A. Viste. Upper Gastrointestinal Contrast Study in the Management of Small Bowel Obstruction—a Prospective Randomised Study. European Journal of Surgery 2000; 166: 39–43. S. Sarraf-Yazdi, m. l. Shapiro. Small bowel obstruction: the eternal dilemma of when to intervene. Scandinavian Journal of Surgery 2010. 99: 78-80. Hayanga AJ, Bass-Wilkins K, Bulkley GB: Current management of small-bowel obstruction. Advances in Surgery 2005;39:1–33. Rocha FG, Themant A, Matros E et al: Nonoperativemanage- ment of patients with a diagnosis of high-grade small bowel obstruction by computed tomography. Archives of Surgery 2009;144: 1000–1004 Nina A Bickell, MD, MPH, Alex D Federman, MD, MPH, Arthur H Aufses Jr, MD, FACS. Influence of Time on Risk of Bowel Resection in Complete Small Bowel Obstruction. Journal of The American College of Surgeons, 2005. 201(6): 847-854. Lujan HL, Oren A, Plasencia G, et al. Laparoscopic management as the initial treatment of acute small bowel obstruction. Journal of The Society of Laparoendoscopic Surgeons, 2006;10:466-72 Szomstein S, Lo Menzo E, Simpfendorfer C, Zundel N, rosenthal rJ: Laparoscopic lysis of adhesions. World Journal of Surgery 2006;30:535–540 Polymeneas G, Theodosopoulos T, Stamatiadis A, et al. A comparative study of postoperative adhesion formation after laparoscopic vs open cholecystectomy. Surgical Endoscopy 2001;15:41-3. Eric Roeland, MD, and Charles F. von Gunten, MD, PhD. Current Concepts in Malignant Bowel Obstruction Management. Current Oncology Reports 2009. 11(4): 298-303. Dayton MT, Dempsey DT, Larson GM, Posner AR. New paradigms in the treatment of small bowel obstruction. Current Problems in Surgery. Nov, 2012; 49 (11): 642-717. Dindo D, Demartines N, Clavien P-A. Classification of Surgical Complications. Ann. Surg. 2004;240(2):205-213. doi:10.1097/01.sla.0000133083.54934.ae. HUSI: Guía de práctica clínica de abdomen agudo [Internet], Hospital Universitario San Ignacio, Bogotá- Colombia. Departamento de Cirugía. Disponible: http://intranethusi.husi.org.co:8080/Documentacion/Documentacin/Gu%C3%ADas%20de%20Práctica%20Cl%C3%ADnica/Unidad%20de%20Cirug%C3%ADa%20General/Guia%20De%20Abdomen%20Agudo.pdf Springer JE, Bailey JG, Davis PJB, Johnson PM. Management and outcomes of small bowel obstruction in older adult patients: a prospective cohort study. Can. J. Surg. 2014;57(6):379-84. doi:10.1503/cjs.029513. Duron J-J, Silva NJ-D, du Montcel ST, et al. Adhesive postoperative small bowel obstruction: incidence and risk factors of recurrence after surgical treatment: a multicenter prospective study. Ann. Surg. 2006;244(5):750-7. doi:10.1097/01.sla.0000225097.60142.68. Lo OSH, Law WL, Choi HK, Lee YM, Ho JWC, Seto CL. Early outcomes of surgery for small bowel obstruction: analysis of risk factors. Langenbecks. Arch. Surg. 2007;392(2):173-8. doi:10.1007/s00423-006-0127-4. Bizer LS, Liebling RW, Delany HM, Gliedman ML. Small bowel obstruction. Surgery 1981; 89:407– 413. Williams SB, Greenspon J, Young H a, Orkin B a. Small bowel obstruction: conservative vs. surgical management. Dis. Colon Rectum 2005;48(6):1140-6. doi:10.1007/s10350-004-0882-7. Miller G, Boman J, Shrier I, Gordon PH. Natural history of patients with adhesive small bowel obstruction. Br. J. Surg. 2000;87(9):1240-7. doi:10.1046/j.1365-2168.2000.01530.x. Lee SY, Park KJ, Ryoo S-B, Oh H-K, Choe EK, Heo SC. Early postoperative small bowel obstruction is an independent risk factor for subsequent adhesive small bowel obstruction in patients undergoing open colectomy. World J. Surg. 2014;38(11):3007-14. doi:10.1007/s00268-014-2711-z. Castro M, Renedo S, Droppelmann N, Téllez J, et al. Obstrucción intestinal: ¿que necesita saber el cirujano?. Revista Chilena de Radiología. Vol. 10 No 4, año 2004; 165-171. Maglinte DD, Gage SN, Harmon BH, et al. Obstruction of the small intestine: accuracy and role of CT in diagnosis. Radiology 1993; 188:61-64. Frager D, Madwid SW, Baer JW, et al. CT of small-bowel obstruction: value en establishing the diagnosis and determining the degree and 182. cause. AJR Am J Roentgenol 1994;162: 37-41. Biondo S, Parés D, Frago R, et al. Large Bowel Obstruction: Predictive Factors for Postoperative Mortality. Dis. Colon Rectum 2004;47(11):1889-1897. doi:10.1007/s10350-004-0688-7. Shannon A, Philip H. Immediate postlaparotomy small bowel obstruction : A 16-year retrospective analysis. Am Surg. 2002 Sep; 68(9): 780-2. Playforth RH, Holloway JB, Griffen WO. Mechanical small bowel obstruction: a plea for earlier surgical intervention. Ann Surg 1970; 171:783–787. Ulvik NM, Qvigstad E. Mechanical small bowel obstruction due to adhesions. Ann Chir Gynaecol 1978; 67(1):13–16. Tanphiphat C, Chittmittrapap S, Prasopsunti K. Adhesive small bowel obstruction. Am J Surg 1987; 154:283–287. Oxford Centre for Evidence-Based Medicine (Centro de Medicina Basada en la Evidencia de Oxford) Niveles de evidencia 2011 Wetch J. General consideration and mortality in bowel obstruction. In: Welch JP, ed Bowel obstruction: differential diagnosis and clinical management. Philadelpia: WB Saunders 1990; páginas 59-95. Ruiz F. Síndrome de obstrucción intestinal. Artículo de revisión. Revista del Hospital General “La Quebrada”. Vol. 2, No. 1 Enero-Abril 2003 pp 36-43. Ellis H, Dm CBE, Frcs M. Intestinal obstruction from adhesions how big is the problem ? 1990;72:60-63. |
| dc.source.instname.spa.fl_str_mv |
instname:Universidad del Rosario |
| dc.source.reponame.spa.fl_str_mv |
reponame:Repositorio Institucional EdocUR |
| bitstream.url.fl_str_mv |
https://repository.urosario.edu.co/bitstreams/a18dce4f-194f-4931-a758-c7c81fd7fb2d/download https://repository.urosario.edu.co/bitstreams/39492579-d669-4776-8c7f-b2e34ed1fa74/download https://repository.urosario.edu.co/bitstreams/c3ef989b-4f84-494a-b68a-49b8eb9bc4e1/download https://repository.urosario.edu.co/bitstreams/9f3bf28c-9c31-42ce-b8f9-8b00f2a2d084/download https://repository.urosario.edu.co/bitstreams/a03c36e8-e89d-4b1a-bbe2-6fbd2f5f09ee/download https://repository.urosario.edu.co/bitstreams/fa6cf24d-eced-46a9-b3ac-0265c0b84ab5/download https://repository.urosario.edu.co/bitstreams/9a589168-a14b-4ab1-a1b1-c176d3ee36cf/download |
| bitstream.checksum.fl_str_mv |
150a024da97c3ee9df0af296304d6d47 b88c839443ba63e11048fb16064fb07a b4f8fe66e94b897ab4c355bac005ad16 51c9faa954c7e7e34d2d35e644576e8a 01b63088f18e1aad4bb6cfb9746b339a 5ebe4dbc9b62dc6f509dc266d19a2c67 e78a612f08d9c45dd64840691648ddd0 |
| bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 MD5 MD5 MD5 |
| repository.name.fl_str_mv |
Repositorio institucional EdocUR |
| repository.mail.fl_str_mv |
edocur@urosario.edu.co |
| _version_ |
1814167566144241664 |
| spelling |
Trillos Peña, Carlos Enrique79297795600Manrique Luna, Aura CarolinaSalazar García, Andrés FelipeEspecialista en Epidemiología (en Convenio con el CES)f1082188-f36c-4481-a383-b0f275dd6225-122978991-9e4f-41d2-9cae-f1c4b0f185f7-12015-06-09T18:46:07Z2015-06-09T18:46:07Z2014-11-032014Introducción: La obstrucción intestinal es una patología de alta prevalencia e impacto en los servicios de cirugía general a nivel mundial. El manejo de esta entidad puede ser médico o quirúrgico. Cuando se requiere intervención quirúrgica, se busca evitar el desarrollo de isquemia intestinal y resecciones intestinales; durante el postoperatorio, pueden existir complicaciones. El objetivo de este estudio es identificar los factores asociados al desarrollo de complicaciones post operatorias en un grupo de pacientes con obstrucción intestinal mecánica llevados a manejo quirúrgico. Metodología: Estudio analítico tipo casos y controles en un grupo de pacientes con diagnóstico de obstrucción intestinal mecánica llevados a manejo quirúrgico de su patología. Los casos corresponden a los pacientes con complicaciones postoperatorias y los controles aquellos que no presentaron complicaciones. Se identificaron factores asociados a complicación post operatoria mediante modelos estadísticos bivariados y multivariados de regresión logística para factores como edad, sexo, antecedente quirúrgico, presentación clínica, paraclínica y diagnóstico postoperatorio de malignidad, entre otras. Resultados: Se identificaron un total de 138 pacientes (54 casos y 129 controles). Los rangos de edad entre 55-66 años y mayor de 66 años fueron asociados con complicaciones postoperatorias (OR 3,87 IC95% 1,58-9,50 y OR 3,62 IC95% 1,45-9,08 respectivamente). El déficit de base inferior a 5 mEq/litro se relaciona con complicaciones postoperatorias (OR 2,64 IC95% 1.33-5,25) Otras pruebas de laboratorio, características radiológicas, hallazgos de malignidad en el postoperatorio y la evolución de los pacientes no fueron asociados con complicaciones. Conclusiones: Las disminución de las complicaciones durante el manejo quirúrgico de obstrucción intestinal mecánica continúa siendo un reto para la cirugía general. Factores no modificables como edad avanzada y modificables como el equilibrio ácido base deben ser tenidos en cuenta dada su correlación en el desarrollo de complicaciones postoperatorias.Background: Bowel obstruction is a high prevalence pathology that has a big impact in the surgical services worldwide. One of the therapeutics approaches of this entity is the surgical management, which is intended to prevent the development of intestinal ischemia and bowel resections. However, it is a common postoperative complications in these patients. The aim of this study is to identify factors associated with development of post surgical complications in patients with mechanical intestinal obstruction taken to surgical management. Methods: Case-control type study, in which patients with diagnosis of bowel obstruction undergoing surgical treatment, who presented surgical complications were taken as cases, and those who did not presented it were the controls. Factors associated with post surgical complications were identified through bivariate and multivariate logistic regression statistical models. Expected Results: To identify factors associated with the development of postoperative complications in patients with mechanical intestinal obstruction. : Results: When making the analysis for the association of complications, adjusted for sex and age, relationship between age between 55 to 66 years with an OR 3. 87 and age older than 66 years with an OR of 3. 62 is demonstrated (IC95% 1, 58-9, 50 and 1, 45-9, 08 respectively. In laboratory studies, it was found that a larger base deficit (lesser than < 5) has a OR 2. 64 (IC95% 1. 33-5, 25). Other clinical factors, laboratory, and radiological findings in the postoperative period, as well as the evolution of the patients did not show a clear association with the presence of complications in the postoperative period. Conclusions: Intestinal obstruction remains a difficult management entity, with a high rate of morbidity and mortality associated. Factors such an advanced age and the presence of metabolic acidosis, is associated with the presentation of postoperative complications in this study population. application/pdfhttps://doi.org/10.48713/10336_10525 http://repository.urosario.edu.co/handle/10336/10525spaUniversidad del RosarioFacultad de medicinaAbierto (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://purl.org/coar/access_right/c_abf2Raphael P, Wasila O, Lorenzo A, Evelin M, Philippe M, et al. Clinical outcome in acute small bowel obstruction after surgical or conservative management. World Journal of Surgery. 2014. DOI 10.1007/s00268-0 14-2733-6Thijs R, Bart AC, Ignace HJT. Challenges in diagnosis adhesive small bowel obstruction. World Journal of Gastroenterology. 2013 November 21; 19 (43): 7489-7493.Ellis H (1982). The causes and prevention of intestinal adhesions. Br J Surg 69: 241-243.Martin D.Zielinski, Patrick W. Eiken, Michael P Bannon, et al. Small Bowel Obstruction- Who needs an operation? A Multivariate Prediction Model. World J Surg (2010) 34:910–919.Landercasper J, Cogbill TH, Merry WH et al (1993) Long term outcome after hospitalization for small bowel obstruction. Arch Surg 128: 765-770 discussion 770-761.Irvine TT. Abdominal pain: a surgical audit of 1190 emergency admissions. Br J Surg. 1989;76:1121–5Foster NM, McGory ML, Zingmond DS, Ko CY. Small bowel obstruction: a population-based appraisal. J Am Coll Surg. 2006;203:170–6Treves F. Intestinal obstruction: its varieties, with their pathology, diagnosis and treatment. Ed. H.C. Lea´s Son and Co., 1884.Wangensteen OH and Paine JR. Treatement of acute intestinal ostruction by suction with a doudenal tube. JAMA 101:1532, 1933.Paine JR, Carlson HA and Wangensteen OH. Postoperative control of distensión, nausea and vomiting; clinical study with reference to employment of narcotics, cathartics and nasal catheter suction-siphinage. JAMA 100, 1933.Shelton BK. Intestinal obstruction. AACN Clinical Issues, 1999 Nov;10(4):478-491.Miller G, Boman J, Shrier I, Gordon PH. Etiology of small bowel obstruction. American Journal of Surgery. 2000 Jul; 180(1):33-6.Parker MC, Ellis H, Moran BJ, et al. Postoperative adhesions: ten-year follow-up of 12,584 patients undergoing lower abdominal surgery. Diseases of Colon and Rectum 2001;44(6): 822–9Ellis H, Moran BJ, Thompson JN, et al. Adhesion-related hospital readmissions after abdominal and pelvic surgery: a retrospective cohort study. Lancet 1999;353:1476–80.Galinos Barmparas & Bernardino C. Branco & Beat Schnüriger & Lydia Lam & Kenji Inaba & Demetrios Demetriades. The Incidence and Risk Factors of Post-Laparotomy Adhesive Small Bowel Obstruction. Journal Of Gastrointestinal Surgery, 2010. 14: 1619-1628.Whang EE, Ashley SW, Zinner MJ. Small intestine. En: Brunicardi FC, Andersen DK, Billiar TR, et al, eds. Schwartz’s Principles of Surgery. New York: McGraw-Hill, 8th edn, 2005:1017-54. (Seccion: Small-Bowel Obstruction 1027-1031)Soybel DI. Ileus and bowel obstruction. En: Greenfield LJ, ed. Surgery Scientific Principles and Practice. Philadelphia: Lippincott Williams & Wilkins, 3rd edn, 2001:798-9Evers BM. Small intestine. En: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. Philadelphia: Elsevier Saunders, 17th edn, 2004:1323-77.Fevang BT, Fevang J, Stangeland L, Soreide O, Svanes K, Viste A. Complications and death after surgical treatment of small bowel obstruction: a 35-year institutional experience. Ann Surg. 2000; 231:529–37Moshe Schein, Ahmad Assalia. Small Bowel Obstruction—Who Needs an Operation?. Invited Comentary. World Journal of Surgery (2010) 34:920–922Kössi J, Salminen P, Rantala A, et al. Population-based study of the surgical workload and economic impact of bowel obstruction caused by postoperative adhesions. British Journal of Surgery 2003;90:1441-4Diaz J, Bokhari F, Mowery N, Acosta J, et al. Guidelines for the management of small bowel obstruction. EAST Practice management guidelines. The Journal Of Trauma, injury, infection and critical care. 2008;64: 165-1664.Abujudeh H, Kaewlai R, McMahon P, Binder W, et al. Abdominopelvic CT Increases Diagnostic Certainty and Guides Management Decisions: A Prospective Investigation of 584 Patients in a Large Academic Medical Center. American Journal of Radiology, 2011. 196: 238-243.Colon MJ, Telem DA, Wong D, et al. The relevance of transition zones on computed tomography in the management of small bowel obstruction. Surgery 2010;147:373-7Jones K, Mangram A, Lebron R, Nadalo L, et al. Can a computed tomography scoring system predict the need for surgery in small-bowel obstruction? The American Journal of Surgery 194 (2007) 780–784Shannon P. Sheedy, MD Frank Earnest IV, MD Joel G. Fletcher, MD Jeff L. Fidler, MD, Tanya L. Hoskin, MS. CT of Small-Bowel Ischemia Associated with Obstruction in Emergency Department Patients: Diagnostic Performance Evaluation. Radiology: Volume 241: Number 3—December 2006. 729-736.Fevang BT, Jensen D, Svanes K, Viste A. Early Operation or Conservative Management of Patients with Small Bowel Obstruction. European Journal of Surgery 2002. 168:475-481.B. C. Branco, G. Barmparas, B. Schnuriger, K. Inaba, L. S. Chan and D. Demetriades. Systematic review and meta-analysis of the diagnostic and therapeutic role of water-soluble contrast agent in adhesive small bowel obstruction. British Journal of Surgery 2010; 97: 470–478.Abbas S, Bissett IP, Parry BR. Oral water soluble contrast for the management of adhesive small bowel obstruction. Cochrane Database of Systematic Reviews 2007, Issue 3. Art. No.: CD004651. DOI: 10.1002/14651858.CD004651.pub3.B. T. Fevang, D. Jensen, J. Fevang, K. Søndenaa, K. Øvrebø, O. Røkke, H. Gislasson, K. Svanes and A. Viste. Upper Gastrointestinal Contrast Study in the Management of Small Bowel Obstruction—a Prospective Randomised Study. European Journal of Surgery 2000; 166: 39–43.S. Sarraf-Yazdi, m. l. Shapiro. Small bowel obstruction: the eternal dilemma of when to intervene. Scandinavian Journal of Surgery 2010. 99: 78-80.Hayanga AJ, Bass-Wilkins K, Bulkley GB: Current management of small-bowel obstruction. Advances in Surgery 2005;39:1–33.Rocha FG, Themant A, Matros E et al: Nonoperativemanage- ment of patients with a diagnosis of high-grade small bowel obstruction by computed tomography. Archives of Surgery 2009;144: 1000–1004Nina A Bickell, MD, MPH, Alex D Federman, MD, MPH, Arthur H Aufses Jr, MD, FACS. Influence of Time on Risk of Bowel Resection in Complete Small Bowel Obstruction. Journal of The American College of Surgeons, 2005. 201(6): 847-854.Lujan HL, Oren A, Plasencia G, et al. Laparoscopic management as the initial treatment of acute small bowel obstruction. Journal of The Society of Laparoendoscopic Surgeons, 2006;10:466-72Szomstein S, Lo Menzo E, Simpfendorfer C, Zundel N, rosenthal rJ: Laparoscopic lysis of adhesions. World Journal of Surgery 2006;30:535–540Polymeneas G, Theodosopoulos T, Stamatiadis A, et al. A comparative study of postoperative adhesion formation after laparoscopic vs open cholecystectomy. Surgical Endoscopy 2001;15:41-3.Eric Roeland, MD, and Charles F. von Gunten, MD, PhD. Current Concepts in Malignant Bowel Obstruction Management. Current Oncology Reports 2009. 11(4): 298-303.Dayton MT, Dempsey DT, Larson GM, Posner AR. New paradigms in the treatment of small bowel obstruction. Current Problems in Surgery. Nov, 2012; 49 (11): 642-717.Dindo D, Demartines N, Clavien P-A. Classification of Surgical Complications. Ann. Surg. 2004;240(2):205-213. doi:10.1097/01.sla.0000133083.54934.ae.HUSI: Guía de práctica clínica de abdomen agudo [Internet], Hospital Universitario San Ignacio, Bogotá- Colombia. Departamento de Cirugía. Disponible: http://intranethusi.husi.org.co:8080/Documentacion/Documentacin/Gu%C3%ADas%20de%20Práctica%20Cl%C3%ADnica/Unidad%20de%20Cirug%C3%ADa%20General/Guia%20De%20Abdomen%20Agudo.pdfSpringer JE, Bailey JG, Davis PJB, Johnson PM. Management and outcomes of small bowel obstruction in older adult patients: a prospective cohort study. Can. J. Surg. 2014;57(6):379-84. doi:10.1503/cjs.029513.Duron J-J, Silva NJ-D, du Montcel ST, et al. Adhesive postoperative small bowel obstruction: incidence and risk factors of recurrence after surgical treatment: a multicenter prospective study. Ann. Surg. 2006;244(5):750-7. doi:10.1097/01.sla.0000225097.60142.68.Lo OSH, Law WL, Choi HK, Lee YM, Ho JWC, Seto CL. Early outcomes of surgery for small bowel obstruction: analysis of risk factors. Langenbecks. Arch. Surg. 2007;392(2):173-8. doi:10.1007/s00423-006-0127-4.Bizer LS, Liebling RW, Delany HM, Gliedman ML. Small bowel
obstruction. Surgery 1981; 89:407– 413.Williams SB, Greenspon J, Young H a, Orkin B a. Small bowel obstruction: conservative vs. surgical management. Dis. Colon Rectum 2005;48(6):1140-6. doi:10.1007/s10350-004-0882-7.Miller G, Boman J, Shrier I, Gordon PH. Natural history of patients with adhesive small bowel obstruction. Br. J. Surg. 2000;87(9):1240-7. doi:10.1046/j.1365-2168.2000.01530.x.Lee SY, Park KJ, Ryoo S-B, Oh H-K, Choe EK, Heo SC. Early postoperative small bowel obstruction is an independent risk factor for subsequent adhesive small bowel obstruction in patients undergoing open colectomy. World J. Surg. 2014;38(11):3007-14. doi:10.1007/s00268-014-2711-z.Castro M, Renedo S, Droppelmann N, Téllez J, et al. Obstrucción intestinal:
¿que necesita saber el cirujano?. Revista Chilena de Radiología. Vol. 10 No 4, año 2004; 165-171.Maglinte DD, Gage SN, Harmon BH, et al. Obstruction of the small intestine: accuracy and role of CT in diagnosis. Radiology 1993; 188:61-64.Frager D, Madwid SW, Baer JW, et al. CT of small-bowel obstruction:
value en establishing the diagnosis
and determining the degree and 182. cause. AJR Am J Roentgenol 1994;162: 37-41.Biondo S, Parés D, Frago R, et al. Large Bowel Obstruction: Predictive Factors for Postoperative Mortality. Dis. Colon Rectum 2004;47(11):1889-1897. doi:10.1007/s10350-004-0688-7.Shannon A, Philip H. Immediate postlaparotomy small bowel obstruction : A 16-year retrospective analysis. Am Surg. 2002 Sep; 68(9): 780-2.Playforth RH, Holloway JB, Griffen WO. Mechanical small bowel obstruction: a plea for earlier surgical intervention. Ann Surg 1970; 171:783–787.Ulvik NM, Qvigstad E. Mechanical small bowel obstruction due to
adhesions. Ann Chir Gynaecol 1978; 67(1):13–16.Tanphiphat C, Chittmittrapap S, Prasopsunti K. Adhesive small bowel
obstruction. Am J Surg 1987; 154:283–287.Oxford Centre for Evidence-Based Medicine (Centro de Medicina Basada en la Evidencia de Oxford) Niveles de evidencia 2011Wetch J. General consideration and mortality in bowel obstruction. In: Welch JP, ed Bowel obstruction: differential diagnosis and clinical management. Philadelpia: WB Saunders 1990; páginas 59-95.Ruiz F. Síndrome de obstrucción intestinal. Artículo de revisión. Revista del Hospital General “La Quebrada”. Vol. 2, No. 1 Enero-Abril 2003 pp 36-43.Ellis H, Dm CBE, Frcs M. Intestinal obstruction from adhesions how big is the problem ? 1990;72:60-63.instname:Universidad del Rosarioreponame:Repositorio Institucional EdocURObstrucción Intestinal - Complicaciones postoperatorias – Dilatación intestinal - AdherenciasEnfermedades616600Obstrucción intestinalEpidemiologíaContenido digestivoCirugíaIntestinal obstruction - Postoperative complications - Dilated bowel - Bowel adhesionFactores asociados a complicaciones post quirúrgicas en pacientes adultos con obstrucción intestinal mecánica en Bogotá, Colombia, período 2008 - 2014bachelorThesisTrabajo de gradohttp://purl.org/coar/resource_type/c_7a1fORIGINALManriqueLuna-AuraCarolina-2014.pdfManriqueLuna-AuraCarolina-2014.pdfWord Tesisapplication/pdf1893527https://repository.urosario.edu.co/bitstreams/a18dce4f-194f-4931-a758-c7c81fd7fb2d/download150a024da97c3ee9df0af296304d6d47MD54ManriqueLuna-AuraCarolina-2014.pdfManriqueLuna-AuraCarolina-2014.pdfPresentación Tesisapplication/pdf67157913https://repository.urosario.edu.co/bitstreams/39492579-d669-4776-8c7f-b2e34ed1fa74/downloadb88c839443ba63e11048fb16064fb07aMD55LICENSElicense.txtlicense.txttext/plain2156https://repository.urosario.edu.co/bitstreams/c3ef989b-4f84-494a-b68a-49b8eb9bc4e1/downloadb4f8fe66e94b897ab4c355bac005ad16MD56TEXTManriqueLuna-AuraCarolina-2014.pdf.txtManriqueLuna-AuraCarolina-2014.pdf.txtExtracted texttext/plain97028https://repository.urosario.edu.co/bitstreams/9f3bf28c-9c31-42ce-b8f9-8b00f2a2d084/download51c9faa954c7e7e34d2d35e644576e8aMD511ManriqueLuna-AuraCarolina-2014.pdf.txtManriqueLuna-AuraCarolina-2014.pdf.txtExtracted texttext/plain58773https://repository.urosario.edu.co/bitstreams/a03c36e8-e89d-4b1a-bbe2-6fbd2f5f09ee/download01b63088f18e1aad4bb6cfb9746b339aMD513THUMBNAILManriqueLuna-AuraCarolina-2014.pdf.jpgManriqueLuna-AuraCarolina-2014.pdf.jpgGenerated Thumbnailimage/jpeg3476https://repository.urosario.edu.co/bitstreams/fa6cf24d-eced-46a9-b3ac-0265c0b84ab5/download5ebe4dbc9b62dc6f509dc266d19a2c67MD512ManriqueLuna-AuraCarolina-2014.pdf.jpgManriqueLuna-AuraCarolina-2014.pdf.jpgGenerated Thumbnailimage/jpeg2689https://repository.urosario.edu.co/bitstreams/9a589168-a14b-4ab1-a1b1-c176d3ee36cf/downloade78a612f08d9c45dd64840691648ddd0MD51410336/10525oai:repository.urosario.edu.co:10336/105252021-06-03 00:46:21.162https://repository.urosario.edu.coRepositorio institucional EdocURedocur@urosario.edu.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 |