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Organo Oficial de la Secretaria de Salud de Quintana Roo

2021, Number 45

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Salud Quintana Roo 2021; 14 (45)

Prevalence of acute pancreatitis in a General Hospital. Analysis of five years

Padrón AG, Concha MAJ

Language: Spanish
References: 40
Page: 18-23
PDF size: 406.89 Kb.


ABSTRACT

Introduction. Acute pancreatitis is an inflammatory disease characterized by the presence of severe epigastric abdominal pain, elevated levels of pancreatic enzymes, and variable severity of glandular involvement, from edema to necrosis. The edematous form occurs in 80 to 85% of cases and recovery is almost immediate, while in the remaining 15 to 20% a severe form is observed that requires prolonged hospitalization and is related to systemic inflammatory response syndrome, multiple organ failure and pancreatic necrosis infection; mortality occurs in 15 to 20% of this cases. Material and methods. To know the prevalence, etiology, and clinical characteristics, morbidity, and mortality of acute pancreatitis in Playa del Carmen, Q. Roo, Mexico, an observational, retrospective, and cross-sectional study was carried out over a period of 5 years (2012-2016). Results. During the study period, 100 cases of acute pancreatitis were obtained from various etiologies, 57 cases of females and 43 of males. The main etiology was biliary, followed by hypertriglyceridemia and then alcoholic. Discussion. The most frequent etiology of acute pancreatitis in the world is the biliary origin, later caused by alcohol, and less frequently by hypertriglyceridemia, drugs, post-traumatic and idiopathic trauma. However in our study the etiology for hypercholesterolemia was second displacing the alcoholic etiology to the third place, this could be explained due to the type of feeding of the Southeast of Mexico that is rich in triglycerides and with little consumption fruits, vegetables and fish.


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