2019, Number 4
Prevalence of benign anorectal pathology in individuals with HIV / AIDS in western Mexico
Betancourt-Vicencio S, Esparza-González A, Delgado-Garay FG, Covarrubias-Leos AK, Latorraca-Santamaría JI, González-Duarte JA
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Language: Spanish
References: 11
Page: 271-276
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ABSTRACT
Introduction. HIV infection is one of the pandemics of the twentieth and twenty-first centuries. In Mexico, according to the National Institute of Statistics and Geography (INEGI), a total of 286,700 cases have been recorded in the period from 1983 to 2018. Anorectal pathology is one of the major causes of morbidity in this population and the main cause of surgical intervention. Information on the prevalence of these entities in the Mexican population is scarce, so the objective of this study was to describe the prevalence of anorectal pathologies in individuals with HIV / AIDS who attend the Coloproctology Service of the Hospital Civil de Guadalajara Fray Antonio Alcalde.Methods. This was a retrospective study carried out in the Coloproctology service of the Hospital Civil de Guadalajara Fray Antonio Alcalde, which included individuals with HIV / AIDS infection treated in the outpatient clinic who had a diagnosis of benign anorectal pathology, during the period from January 1st, 2015 to April 30, 2019. Different variables such as sex, age, T-CD4 + lymphocyte count, HIV viral load, time of evolution of the HIV infection diagnosis, history of anoreceptive intercourse, type of sexual practice, number of sexual partners, use of treatment were analyzed. antiretroviral, clinical features of anorectal pathology and type of treatment used. Statistical analysis was performed with the IBM SPSS Statistics version 24 software.
Results. There were 381 evaluations for benign anorectal pathology in individuals with HIV infection. The majority of individuals (n = 350, 91.9%) were male and the average age was 37.7 years. 57.5% (n = 219), were men who reported having sex with men; while 81.4% said they had anoreceptive intercourses. The majority (72.2%) were under ART and 24% were in AIDS. The most frequent pathology was condylomatous disease followed by hemorrhoidal disease and anal fissure. Only 12.8% had more than one anorectal pathology and 7.9% had recurrences.
Discussion. In individuals living with HIV infection treated at our institution, the most frequent anorectal pathology was anal condylomatous disease. The risk factors for presenting this entity were similar to those previously described. With the change in epidemiology and life expectancy of those living with HIV, the prevalence of benign anorectal pathology has changed so that this work lays the foundations for future research in which risk factors for development other than infection are identified as well as prospective monitoring and quality of life assessments.
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