Prevalencia de Colitis indeterminada en pacientes mayores de 18 años del Hospital IESS Ceibos en el periodo 2019-2020.

Abstract

Introduction: Colitis varies greatly in each patient and does not offer many diagnostic clues, these usually present with diarrhea, bleeding, diarrhea with bleeding, diarrhea with abdominal pain and weight loss, with or without fever and with or without extraintestinal symptoms. As there is no single gold standard, discrimination between UC and CD continues to be based on a combination of clinical, laboratory, endoscopic, histopathologic, and radiographic observations. In approximately 5% to 10% of colon diseases, a definitive diagnosis of UC and CD cannot be made. In those cases, the term indeterminate colitis [IC] is used. Methodology: This is a descriptive, observational, retrospective, cross-sectional study. Information was collected from the medical records of patients over 18 years of age who had an indeterminate colitis diagnosis at the Iess Ceibos Hospital in the 2019-2020 period. A descriptive statistical analysis was performed on the collected data. Results: Of the 234 patients diagnosed with IC over 18 years of age who were studied, the distribution between male and female sex was equal, with an average age of 50 years of age, predominantly Ecuadorian nationality and the province of Guayas. The personal pathological antecedents most frequently found were arterial hypertension, type 2 diabetes mellitus, chronic gastritis, ulcerative colitis and unspecified colitis. The most frequent clinical manifestations were abdominal pain, diarrhea and constipation. The most common complications were hemorrhage, perianal fistulae, and colon neoplasia. Conclusion: There was a prevalence of 234 cases of IC in the population studied, an average age of 50, a wide distribution from 35 to 65 years, an equitable gender distribution, PPA of hypertension and type 2 DM, clinical manifestations of abdominal pain, diarrhea and constipation and complications such as hemorrhage, perianal fistulas and colon neoplasia.