¿Ha cambiado la epidemiología de la Diverticulitis Aguda en los servicios de urgencia? Experiencia en un hospital de alto nivel de complejidad de Sur América

JOURNAL TITLE: Panamerican Journal of Trauma, Critical Care & Emergency Surgery

Author
1. Bárbara Valle
2. Valentina Garlaschi
3. Anamaría Pacheco
4. Paz Alejandra Rodríguez
5. Paula Cornejo
6. Mónica Martínez-Mardones
7. Vicente Hernández-Peña
8. Heinz Dauelsberg
9. Josseline Peña
10. Veronica Azabache
ISSN
DOI
10.5005/jp-journals-10030-1290
Volume
9
Issue
3
Publishing Year
2020
Pages
5
Author Affiliations
    1. Docente, Escuela de Medicina, Universidad Finis Terrae, Santiago, Chile
    1. Escuela de Medicina, Universidad Finis Terrae, Santiago, Chile
    1. Escuela de Medicina, Universidad Finis Terrae, Santiago, Chile
    1. Santiago, Chile
    1. Departamento de Cirugía, Hospital Urgencia Asistencia Pública, Santiago, Chile
    1. Escuela de Medicina, Universidad Finis Terrae, Santiago, Chile
    1. Escuela de Medicina, Universidad Finis Terrae, Santiago, Chile
    1. Escuela de Medicina, Universidad Finis Terrae, Santiago, Chile
    1. Escuela de Medicina, Universidad Finis Terrae, Santiago, Chile
    1. Departamento de Cirugía, Hospital Urgencia Asistencia Pública, Santiago, Chile
  • Article keywords

    Abstract

    Introduction: Acute diverticulitis (AD) is a frequent diagnosis in the emergency services. In recent years, there has been a change in the epidemiology profile of this disease. The main objective is to assess whether there has been a change in the epidemiology of AD in our center, with an emphasis on complicated acute diverticulitis (CAD). Materials and methods: Retrospective descriptive study of patients admitted with diagnosis of acute diverticulitis to the Public Assistance Emergency Hospital, between January 2011 and December 2016. Demographic, clinical, and mortality variables are described. Results: Of 54,454 total discharges, 368 (0.7%) cases correspond to AD; 65% are women, with a median age of 61 years; 24.7% of AD occur in those younger than 50 years, with male predominance (78%); and 88 patients (24%) correspond to complicated acute diverticulitis (CAD). Of these, 45 (51.13%) patients presented with peritonitis, 22.2% corresponding to those under 50 years of age. Regarding Hinchey, 26 (29.54%) patients were classified as Hinchey I; 19.31% in Hinchey II, 34.09% Hinchey III and 17.04% Hinchey IV. The treatment of CAD included medical management was performed in 39.8% of cases and invasive procedures, the most frequent being Hartmann´s procedure (31.8%). Conclusion: The increase in perforated diverticulitis and the incidence under 50 years of age stand out, being mainly men. This accounts for the epidemiological change in CAD, with an increase in cases in younger patients, with more serious complications, however, with a better prognosis.

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