Risk factors associated with the most frequent complications in diverticular disease after its surgical resolution at the naval general hospital of high specialty

Risk factors associated with the most frequent complications in diverticular disease after its surgical resolution at the naval general hospital of high specialty

Author: 
Dr. VictorLoeza Montiel, Dr. Mauricio Armando Esqueda Liquidano, Dr. Lizzette A. Reyes Rodriguez, Dr. Manuel Alejandro Hernández Rojas, Dr. IvanhoeLarracilla Salazar and Dr. Gustavo Leal Merida
Abstract: 

Introduction: Complications due to Diverticular Disease (ED) have a prevalence of 25%. Its clinical presentation may be in abscesses, stenosis, fistulas, bleeding and perforation that will merit urgent or elective surgical treatment. The risk factors associated before and after surgical resolution have not yet been well determined. Objective: To identify the risk factors associated with the most frequent complications of ED that occur in patients of the Hospital General de Naval de Alta Especialidad (HOSGENAES) and the type of surgical treatment most used for resolution. Material and Methods: We carried out an analytical, descriptive, prospective and cross-sectional study, including 56 patients with complicated ED diagnosis and who required surgical treatment in an elective or urgent manner. Postoperative evolution was evaluated and possible associated risk factors were determined. Data collection was performed using a precoded sheet and statistical analysis was performed with SPSS v 23. Results: A total of 56 patients with ED complications were analyzed, where it was observed that the risk factors that are associated with a greater number of complications before and after the surgical resolution of ED are obesity (OR 2.1 IC 95 %), Presence of leukocytosis (OR 2.3% CI 95%), fever (OR 2.4% CI 95%) and abdominal pain (OR 3.2% CI 95%).

Paper No: 
1211