medigraphic.com
Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2017, Number 3

<< Back Next >>

Rev Mex Angiol 2017; 45 (3)

Prevalencia de reflujo venoso por ultrasonido Doppler en pacientes con diagnóstico de obesidad en el Servicio de Angiología y Cirugía Vascular del Hospital Regional “Lic. Adolfo López Mateos” del ISSSTE

Loera-Barragán A, Sánchez-Nicolat N, Flores-Escartín MH, Torres-Martínez JA, Serrano-Lozano JA, Lozano-Corona R, Romero-Espinosa L

Language: Spanish
References: 29
Page: 121-126
PDF size: 125.00 Kb.


ABSTRACT

Objective. To determine the pathologic venous reflux prevalence that exist among patients with obesity diagnostic, at Lic. Adolfo Lopez Mateos Regional Hospital ISSSTE.
Material and methods. A case series prospective and observational study. Ultrasound mapping was performed prospectively in 31 patients (62 extremities) to determine venous reflux, patterns of reflux, besides differences between diameters in superficial and deep venous systems, at the Vascular Surgery Department during March 2014 to March 2016.
Results. 31 obese patients took part on the study. Male patients 30.55%, Female patients 69.44%, with previous diagnostic of venous insufficiency and obesity. Mean age 56.52 years (SD 10.42) Mean Height 164.25cm (SD 8.10) Mean Weight 98.58kg (SD 15.51) mean BMI 36.40kg/m2 (SD 3.74). Regarding the presence of venous reflux, reported in 86.11% (31), within which the left inferior extremity was more frequently affected. According to the classification, the reflux patterns found were; Type I: 2 extremities (3.22%), Type II: 4 extremities (6.45%), Type III: 6 extremities (9.67%), Type IV: 32 extremities (51.61%), Type V: 16 extremities (25.8%), Type VI: 2 extremities (3.22%).
Conclusions. We can conclude the obesity is a risk factor that influences the development and progression of venous insufficiency; therefore it is justified to make screening programs to identify this pathology in early stages.


REFERENCES

  1. Fontcuberta García J, Samsó JJ, Senin Fernández ME, Vila Coll R, Escribano Ferrer JM. Actualización de la guía para el diagnóstico no invasivo de la insuficiencia venosa (I). Documento de consenso del capítulo de diagnóstico vascular de la Sociedad Española de Angiología y Cirugía Vascular. Angiología 2015; 67(2): 125-32. Doi: 10.1016/j.angio.2014.05.007

  2. Brizzio E, Castro M, Narbaitz M, Borda N, Carbia C, Correa L, Lazarowski A. Ulcerated hemosiderinic dyschromia and iron deposits within lower limbs treated with a topical application of biological chelator. Veins and Lymphatics 2012; 1(1): doi:10.4081/vl.2012.e6

  3. Wittens CH, Neuman HA, Rabe E, Davis AH. The future of phlebology in Europe. Phlebology 2013; 28(3): 121-2. Doi:10.1258/phleb.2012.012119.

  4. Cambria R, Gloviczki P, Mesina L, Mills J, Perler B, Seeger J, Sidawy AWF.

  5. Cronenwett JL, Johnston W. Rutherford's vascular surgery. 7th Ed. Chap. 53. Saunders Elsevier; 2010, p. 53-68.

  6. Nelson EA, Bell-Syers SEM, Cullum NA, Webster J. Compression for preventing recurrence of venous ulcers. Cochrane Wounds Group 2012. Doi: 10.1002/ 14651858.CD002303

  7. Eberhardt RT, Raffetto JD. Chronic venous insufficiency. Circulation 2014; 130(4): 333-46. Doi: 10.1161/CIRCULATIONAHA. 113.006898

  8. García-Gimeno M, Rodríguez-Camarero M, Tagarro-Villalba S, Ramalle-Gomara E, González-González E, González Arranz MA, et al. Duplex mapping of 2036 primary varicose veins. J Vasc Surg 2009; 49: 681-9.

  9. Delis KT, Knaggs AL, Khodabakhsh P. Prevalence, anatomic patterns, valvular competence, and clinical significance of the Giacomini vein. J Vasc Surg 2004; 40: 1174- 83.

  10. Labropoulos N, Tiongson J, Pryor L, Tassiopoulos A, Kang S, Mansour M, et al. Nonsaphenous super cial vein re ux. J Vasc Surg 2001; 34: 872-7.

  11. Pichot O, Kabnick LS, Creton D, Merchant RF, Schuller- Petroviac S, Chandler JG. Duplex ultrasound scan findings two years after great saphenous vein radiofrequency endovenous obliteration. J Vasc Surg 2004; 39: 189-95.

  12. Lurie F, Creton D, Eklof B, Kabnick LS, Kistner RL, Pichot O, et al. Prospective randomized study of endovenous radiofrequency obliteration (closure procedure) versus ligation and stripping in a selected patient population (EVOLVeS Study). J Vasc Surg 2003; 38: 207-4.

  13. Johnson GJ. The management of venous disorders. Introduction and general considerations. In: Rutherford RB (Ed.). Vascular surgery. 4th. Ed. Philadelphia: W.B. Saunders; 1995, p. 1671-3.

  14. Puggioni A, Lurie F, Kistner RL, Eklof B. How often is deep venous reflux eliminated after saphenous vein ablation? J Vasc Surg 2003; 38: 517-21.

  15. Sales CM, Bilof ML, Petrillo KA, Luka NL. Correction of lower extremity deep venous incompetence by ablation of superficial venous reflux. Ann Vasc Surg 1996; 10: 186-9.

  16. Myers KA, Ziegenbein RW, Zeng GH, Matthews PG. Duplex ultra-sonography scanning for chronic venous disease: patterns of venous reflux. J Vasc Surg 1995; 21: 605-12.

  17. Wiewiora M, Piecuch J, Glu?ck M, Slowinska-Lozynska L, Sosada K. Impact of weight loss due to sleeve gastrectomy on shear stress of the femoral vein in morbid obesity. Obesity Surgery 2014; 24: 806-12. Doi:10.1007/ s11695-013-1175-9

  18. Willenberg T, Schumacher A, Amann-Vesti B, Jacomella V, Thalhammer C, Diehm N, Husmann M. Impact of obesity on venous hemodynamics of the lower limbs. J Vasc Surg 2010; 52(3): 664-8. Doi:10.1016/ j.jvs.2010.04.023

  19. Zhan HT, Bush RL. A review of the current management and treatment options for superficial venous insufficiency. World J Surg 2014; 38(10): 2580-8. Doi:10.1007/s00268-014-2621-0

  20. O'Donnell TF, Passman MA, Marston WA, Ennis WJ, Dalsing M, Kistner RL, Gloviczki P. Management of venous leg ulcers: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg 2014; 60(2 Suppl.): 3S-59S. Doi:10.1016/ j.jvs.2014.04.049

  21. Organización Mundial de la Salud. Estadísticas Sanitarias Mundiales 2013. Organización Mundial de la Salud. 2013.

  22. Organización Mundial de la Salud. Obesidad. (n.d.). Retrieved from http://www.who.int/topics/obesity/es/

  23. Organización Mundial de la Salud. 10 datos sobre la obesidad. (n.d.). Retrieved from http://www.who.int/features/ factfiles/obesity/es/

  24. Organización Mundial de la Salud. (n.d.). OMS Dieta y actividad física. Retrieved from http://www.who.int/dietphysicalactivity/ es/

  25. Organización Mundial de la Salud. (2014). OMS. Obesidad y sobrepeso. Retrieved from http://www.who.int/mediacentre/ factsheets/fs311/es/

  26. Redonda M. Obesidad e implicaciones venosas (patología venosa). Angiología 2003; 55(2): 120-2. Doi:10.1016/ S0003- 3170(03)79311-0

  27. Gloviczki P, Comerota AJ, Dalsing MC, Eklof BG, et al. The care of patients with varicose veins and associated chronic venous diseases: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg 2011; 53(5 Suppl.): 2S-48S. Doi:10.1016/j.jvs.2011.01.079

  28. Gloviczki P, Gloviczki ML. Guidelines for the management of varicose veins. Phlebology/Venous Forum of the Royal Society of Medicine 2012; (27 Suppl. 1): 2-9. Doi:10.1258/phleb.2012.012S28

  29. González LF. Clasificación del sobrepeso y la obesidad 2 (tabla I). 2010, p. 29-31.




2020     |     www.medigraphic.com