Determinar la prevalencia de los tipos de colecistitis en el Hospital Universitario de Guayaquil, año 2016.

Abstract

Objective: Determine the prevalence of types of cholecystitis. Headquarters: Guayaquil University Hospital. Patients and method: patients attended during 2016 in the university hospital of Guayaquil. We evaluated types of cholecystitis, frequency of gender, range of ages, possible complications and personal and family history. Statistical analysis: Retrospective observational descriptive of prevalence. Final score: universe 183 patients,37% diagnosed of acute cholecystitis, calculus of the gallbladder without cholecystitis 21%, cholelithiasis 11%, female 82%, male 18%, age ranges of 26-30 years 13%, 31-35 Years 11%, 36-40 years 13%, 5 days of hospitalization 85%, personal history with obesity 38%, hepatic steatosis 24%, type II diabetes mellitus 21%, renal lithiasis 17%, we performed open cholecystectomy 26%, laparoscopic cholecystectomy 63%, and surgeries that were not performed 11%, complications that presented acute pancreatitis 77%, mirizzi syndrome 19%, the presurgical antibiotic administered ciprofloxacin 98%, postsurgery cefazolin 65%, scheduled surgery 39%, open cholecystectomy 26%, transferred to a tertiary hospital 11%. Conclusion: acute cholecystitis and calculus of the galldbladder without cholecystitis lead the types of cholecystitis, it predominates in women, in ages between 26 and 45 years, personal history of obesity, hepatic steatosis and diabetes mellitus type II as the main risk factors, the majority attend hospitalization less than 5 days, pancreatitis is the main complication, the prophylaxis used is a quinolone and postsurgery a cephalosporin first generation.