Procalcitonina como um marcador precoce na detecção de vazamento anastomótico intestinal em um Hospital Universitário de Bogotá
| Autor: | María Fernanda Mosquera, Carlos Edgar Figueroa Avendaño, Tatiana Carolina Beltrán-García, Elkin Eduardo Benítez Navarrete, Valeria Martinez Rojas, Daniel Alejandro Buitrago Medina |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Anastomotic fistula Fístula anastomótica RC799-869 030230 surgery Anastomosis Dehiscence Procalcitonin Procalcitonina 03 medical and health sciences 0302 clinical medicine Colorectal surgery Medicine business.industry Detecção precoce Incidence (epidemiology) Gastroenterology Retrospective cohort study Early detection Diseases of the digestive system. Gastroenterology Surgery 030220 oncology & carcinogenesis Cohort Complication business Cirurgia colorretal |
| Zdroj: | Journal of Coloproctology (Rio de Janeiro), Volume: 40, Issue: 4, Pages: 376-385, Published: 07 DEC 2020 Journal of Coloproctology, Vol 40, Iss 4, Pp 376-385 (2020) Journal of Coloproctology (Rio de Janeiro) v.40 n.4 2020 Journal of Coloproctology (Rio de Janeiro. Online) Sociedade Brasileira de Coloproctologia (SBCP) instacron:SBCP |
| Popis: | Introduction: Anastomotic leakage is a complication of intestinal anastomosis, with an incidence of 2%–7% in centers of experience. To be able to achieve an early detection, serological markers such as Procalcitonin were included. Methods: Descriptive retrospective cohort study of patients taken to colorectal surgery with intestinal anastomosis, the objective is to estimate association between procalcitonin (≥2 ng/dl) as an early inflammatory marker and anastomotic leakage in a Coloproctological Service of a highest level of health care hospital, between September 2017 and January 2019. Results: Cohort of 237 patients, 51% women (18–89 years), with multiple comorbidities in 81% of patients, colon cancer was the most operated pathology (53.1%). Laparoscopic approach was the most applied 60.34%, colorectal anastomosis was the most frequently performed (47.26%). Ileocolic anastomosis presented a higher frequency (43.75%-n:7) of dehiscence. Anastomotic leakage was associated with a serum procalcitonin positive 3 days postoperatively (p-value |
| Databáze: | OpenAIRE |
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