MORBILIDAD Y MORTALIDAD DE LA PANCREATITIS AGUDA EN EL HOSPITAL GENERAL DOCENTE CIRO REDONDO GARCÍA
Authors/Creators
Description
Tipo de artículo: Artículo original
Introducción: La pancreatitis aguda (PA) es una causa frecuente de ingreso hospitalario, con evolución clínica variable y riesgo de complicaciones graves.
Objetivo: Caracterizar la morbilidad y mortalidad de la PA en pacientes ingresados en el Hospital General Docente Ciro Redondo García entre enero de 2022 y marzo de 2025.
Método: Se realizó un estudio descriptivo, longitudinal y prospectivo en 72 pacientes con diagnóstico confirmado de PA. Se analizaron variables sociodemográficas, etiológicas, clínicas, terapéuticas y de desenlace.
Resultados: El grupo de 40–59 años fue el más afectado (45.8%), con predominio masculino (59.7%). Los principales factores de riesgo identificados fueron la litiasis biliar (36.1%) y el alcoholismo (29.2%). El dolor abdominal constituyó el síntoma más frecuente (93.1%). El diagnóstico se confirmó en el 88.9% de los pacientes mediante estudios complementarios. El tratamiento conservador predominó (79.2%), mientras que el 20.8% requirió cirugía. La tasa de supervivencia global fue del 93.1%.
Conclusiones: La PA afecta principalmente a hombres de mediana edad con factores de riesgo prevenibles. El manejo conservador fue eficaz en la mayoría de los casos, con baja mortalidad.
Abstract (English)
Article type: Original article
Introduction: Acute pancreatitis (AP) is a common cause of hospital admission, with variable clinical progression and risk of severe complications.
Objective: To characterize morbidity and mortality of AP in patients admitted to Ciro Redondo García General Teaching Hospital between January 2022 and March 2025.
Method: A descriptive, longitudinal, and prospective study was conducted involving 72 patients with confirmed AP diagnosis. Sociodemographic, etiological, clinical, therapeutic, and outcome variables were analyzed.
Results: The 40–59 age group was the most affected (45.8%), with a male predominance (59.7%). The main risk factors identified were biliary lithiasis (36.1%) and alcoholism (29.2%). Abdominal pain was the most frequent symptom (93.1%). Diagnosis was confirmed in 88.9% of patients through complementary studies. Conservative treatment predominated (79.2%), while 20.8% required surgery. The overall survival rate was 93.1%.
Conclusions: AP mainly affects middle-aged men with preventable risk factors. Conservative management proved effective in most cases, with low mortality.
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Additional details
Additional titles
- Translated title (English)
- MORBIDITY AND MORTALITY OF ACUTE PANCREATITIS AT CIRO REDONDO GARCÍA GENERAL TEACHING HOSPITAL
Dates
- Collected
-
2025-11-19manuscrito recibido
- Accepted
-
2026-01-15evaluación doble ciego
- Available
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2026-04-29publicación en numero de la revista
Software
- Repository URL
- https://revistacientificasanum.com/
References
- 1. Boxhoorn L, Voermans RP, Bouwense SAW, et al. Acute pancreatitis. Lancet. 2020;396(10252):726–734. https://doi.org/10.1016/S0140-6736(20)31310-6 2. Trikudanathan G, Wolbrink DRJ, van Santvoort HC, et al. Necrotizing pancreatitis: evidence-based approach. Gastroenterology. 2019;156(7):1994–2007.e3. https://doi.org/10.1053/j.gastro.2019.02.038 3. Vege SS, DiMagno MJ, Forsmark CE. Pancreatitis. N Engl J Med. 2018;379(21):2148–2156. https://doi.org/10.1056/NEJMra1703426 4. Mederos MA, Reber HA, Girgis MD. Acute pancreatitis: a review. JAMA. 2021;325(4):382–390. https://doi.org/10.1001/jama.2020.21984 5. Gapp J, Halloran K, Rouhani A, et al. Trends in incidence and outcomes. Pancreas. 2019;48(4):537–543. https://doi.org/10.1097/MPA.0000000000001253 6. Machicado JD, Yadav D. Recurrent and chronic pancreatitis. Curr Opin Gastroenterol. 2019;35(5):440–446. https://doi.org/10.1097/MOG.0000000000000564 7. Ahmed Ali U, Issa Y, Hagenaars JC, et al. Risk of recurrence and progression. Clin Gastroenterol Hepatol. 2016;14(5):738–746.e3. https://doi.org/10.1016/j.cgh.2015.12.040 8. Xiao AY, Tan ML, Wu LM, et al. Global incidence and mortality. Lancet Gastroenterol Hepatol. 2016;1(1):45–55. https://doi.org/10.1016/S2468-1253(16)30004-8 9. Forsmark CE, Swaroop Vege S, Wilcox CM. Acute pancreatitis. N Engl J Med. 2016;375(20):1972–1981. https://doi.org/10.1056/NEJMra1505202 10. Petrov MS, Shanbhag S, Chakraborty M, et al. Organ failure and infection. Gastroenterology. 2010;139(3):813–820. https://doi.org/10.1053/j.gastro.2010.06.010 11. Tenner S, Baillie J, DeWitt J, Vege SS. ACG guideline: management of acute pancreatitis. Am J Gastroenterol. 2013;108(9):1400–1415. https://doi.org/10.1038/ajg.2013.218 12. Banks PA, Bollen TL, Dervenis C, et al. Revised Atlanta classification. Gut. 2013;62(1):102–111. https://doi.org/10.1136/gutjnl-2012-302779 13. Yadav D, Lowenfels AB. Epidemiology of pancreatitis and pancreatic cancer. Gastroenterology. 2013;144(6):1252–1261. https://doi.org/10.1053/j.gastro.2013.01.068 14. Papachristou GI, Muddana V, Yadav D, et al. Comparison of scoring systems. Am J Gastroenterol. 2010;105(2):435–441. https://doi.org/10.1038/ajg.2009.622 15. Wu BU, Johannes RS, Sun X, et al. Early prediction of mortality. Arch Intern Med. 2008;168(6):672–678. https://doi.org/10.1001/archinte.168.6.672 16. Fagenholz PJ, Castillo CF, Harris NS, et al. Increasing US hospital admissions. Pancreas. 2007;35(4):306–310. https://doi.org/10.1097/MPA.0b013e3180320d16 17. Peery AF, Crockett SD, Barritt AS, et al. Burden of gastrointestinal disease. Gastroenterology. 2015;149(7):1731–1741.e3. https://doi.org/10.1053/j.gastro.2015.08.045 18. Talukdar R, Vege SS. Recent developments in acute pancreatitis. Curr Opin Gastroenterol. 2015;31(5):395–402. https://doi.org/10.1097/MOG.0000000000000201 19. Lankisch PG, Apte M, Banks PA. Acute pancreatitis. Lancet. 2015;386(9988):85–96. https://doi.org/10.1016/S0140-6736(14)60649-8 20. Bollen TL. Imaging of acute pancreatitis. Radiol Clin North Am. 2012;50(3):429–445. https://doi.org/10.1016/j.rcl.2012.02.012