Complicaciones asociadas a perforación intestinal en pacientes de 40 a 65 años en el Hospital General del Norte IESS Ceibos en el periodo del año 2020-2021.

Abstract

Perforation of the gastrointestinal tract requires a full-thickness injury of the intestinal wall, which is suspected clinically or with diagnostic imaging, its location depends on the causal disease, it has associated symptoms such as abdominal distension, anorexia, nausea, vomiting, high fever, tachycardia and even shock. The objective of the research that was carried out was to determine the complications associated with an intestinal perforation in patients aged 40 to 65 years, where this age range was added to patients who received medical care at the “Hospital del Norte IESS CEIBOS”, obtaining a significant population according to the database provided by the hospital, where the reason for admission was related to frequent pathologies at the intestinal level, from which the percentage of mortality was also calculated, in addition to the different complications that intestinal perforation can cause in patients. including the prevalence of UCI stay. For this, approximately a total of 93 patients were evaluated who met the requirements of the investigation, in which more than 35% managed to evolve favorably after receiving the appropriate treatment. In conclusion, one of the pathologies that we find most frequent is diverticular disease. The performance of colostomies and ileostomies is one of the main complications, in addition to infection of the surgical wound after median laparotomy, which frequently becomes erythematous and purulent, making healing difficult. These surgeries are very recurrent in patients, which is why it is vital to keep them under continuous observation due to the hemodynamic instability that they may present, which also leads to the need for the use of vasopressors, of which better management can be carried out in ICU.