Fisura anal asociada a Constipación Funcional en pacientes pediátricos atendidos en el servicio de hospitalización y consulta externa de gastroenterología pediátrica en el Hospital General del Norte de Guayaquil Los Ceibos en el periodo enero 2017 a enero 2021.

Abstract

Introduction: Constipation of non-organic characteristics has a worldwide prevalence of 3%; being very often a reason to consult the pediatric service. It is defined as the persistent and incomplete difficulty of defecation, without evidence of an organic cause and whose signs and symptoms are compatible with the Roma IV Criteria. In most cases the patient is referred to pediatric gastroenterology, wich prevalence corresponds to 25%. Functional constipation can lead to a series of complications, such as recurrent abdominal pain, fecal impaction and anal fissures. Objective: To associate anal fissure as the main non-surgical complication of functional constipation in pediatric patients at the General Hospital North of Guayaquil Los Ceibos in January 2017 to December 2021. Methodology: A descriptive, observational, retrospective, cross-sectional cohort study was carried out. In which pediatric patients who were in hospital and who attended the outpatient consultation of the pediatric gastroenterology service at the General Hospital North of Guayaquil Los Ceibos were evaluated from January 2017 to January 2021. The data were obtained through the medical records on the AS400 system with a diagnosis of anal fissure and a history of functional constipation. Results: The main complication associated with functional constipation was anal fissure in 41% of cases (38), followed in second place by defecatory incontinence and fecal impaction shared by 22% (20 cases), recurrent abdominal pain was reported in 11.83% (11 patients), while in the last compartment 2.15% (2 subjects each), hemorrhoids and urinary tract infection were found.