Aspectos clínicos y epidemiológicos de cirugías digestivas en pacientes pediátricos del Hospital Vicente Corral Moscoso. Cuenca, Ecuador, 2018 - 2019

Abstract

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.