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Pancreatitis biliar aguda en gestante de 27 semanas.
| dc.contributor.advisor | Pasos Baño, Ana María | |
| dc.contributor.author | Sipion Sanchez, Gisleyner Maoly | |
| dc.date.accessioned | 2020-09-29T21:33:30Z | |
| dc.date.available | 2020-09-29T21:33:30Z | |
| dc.date.issued | 2020 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/8423 | |
| dc.description | The spectrum of pancreatitis in pregnancy varies from mild to severe pancreatitis, within this we can find Counterpancreatitis with necrosis, pancreatic abscesses, development of pancreatic pseudocyst to multisystem failure. This pathology during pregnancy is favored by biliary stasis that predisposes it to acquire more lithogenic properties. Epidemiologically in Ecuador per year it occurs in 1 per 12,000 pregnancies. The objective is to evaluate compliance with the care protocols for acute pancreatitis present in the 27-week pregnant patient, the purpose is to prevent organ failure and complications. The diagnostic methodology is based on the application of anamnesis, physical examination and complementary tests such as complete blood count, blood biochemistry, C-reactive protein, O`sullivan's test, assessment by breast Score and ultrasound. Infectious antibiotics, analgesics and surgical treatment are used, which is reserved for two scenarios: in the case of complications of the disease itself, such as necrosis of the pancreas and the other scenario is when you try to correct the basic biliary disease (cholelithiasis), it is that is, cholecystectomy in most cases performed with minimally invasive techniques (laparoscopy). The importance of prenatal control is emphasized from the moment it is known, even more so when we have predominant factors such as obesity and gestational diabetes which lead to a high-risk pregnancy, due to not going to a health unit to take the proper controls, in this case the patient could have severe complications if she did not receive the appropriate treatment. | es_ES |
| dc.description | The spectrum of pancreatitis in pregnancy varies from mild to severe pancreatitis, within this we can find Counterpancreatitis with necrosis, pancreatic abscesses, development of pancreatic pseudocyst to multisystem failure. This pathology during pregnancy is favored by biliary stasis that predisposes it to acquire more lithogenic properties. Epidemiologically in Ecuador per year it occurs in 1 per 12,000 pregnancies. The objective is to evaluate compliance with the care protocols for acute pancreatitis present in the 27-week pregnant patient, the purpose is to prevent organ failure and complications. The diagnostic methodology is based on the application of anamnesis, physical examination and complementary tests such as complete blood count, blood biochemistry, C-reactive protein, O`sullivan's test, assessment by breast Score and ultrasound. Infectious antibiotics, analgesics and surgical treatment are used, which is reserved for two scenarios: in the case of complications of the disease itself, such as necrosis of the pancreas and the other scenario is when you try to correct the basic biliary disease (cholelithiasis), it is that is, cholecystectomy in most cases performed with minimally invasive techniques (laparoscopy). The importance of prenatal control is emphasized from the moment it is known, even more so when we have predominant factors such as obesity and gestational diabetes which lead to a high-risk pregnancy, due to not going to a health unit to take the proper controls, in this case the patient could have severe complications if she did not receive the appropriate treatment. | es_ES |
| dc.description.abstract | El espectro de pancreatitis en el embarazo varía desde pancreatitis leve a severa, dentro de este podemos encontrar Contrapancreatitis con necrosis, abscesos pancreáticos, desarrollo de Seudoquiste pancreático hasta fallo multisistémico. Ésta patología durante el embarazo se encuentra favorecida por la estasis biliar que predispone a que adquiera más propiedades litogénicas. Epidemiológicamente en Ecuador al año se presenta en 1 por cada 12000 embarazos. El objetivo es evaluar el cumplimiento de protocolos de atención para pancreatitis aguda presentes en la paciente gestante de 27 semanas, la finalidad es prevenir insuficiencia orgánica y complicaciones. La metodología del diagnóstico se basa en la aplicación de anamnesis, examen físico y exámenes complementarios como biometría hemática completa, bioquímica sanguínea, proteína C reactiva, test de O`sullivan, valoración mediante Score mama y la ecografía. Se usan antibióticos infecciosos, analgésicos y tratamiento quirúrgico, que se reserva para dos escenarios: en el caso Las complicaciones de la enfermedad en sí, como la necrosis del páncreas y el otro escenario es cuando intentas corregir la enfermedad biliar básica (colelitiasis), es decir, colecistectomía en la mayoría de los casos realizados con técnicas mínimas invasivas (laparoscopia). Se recalca la importancia del control prenatal desde el momento en que se conoce del mismo, aún más cuando tenemos factores predominantes como la obesidad y la diabetes gestacional los cuales conllevan a un embarazo de alto riesgo, por no acudir a una unidad de salud para llevar los debidos controles, en este caso la paciente pudo presentar complicaciones severas si no recibía el tratamiento oportuno. | es_ES |
| dc.format.extent | 60 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2020 | es_ES |
| dc.rights | Atribución-NoComercial-SinDerivadas 3.0 Ecuador | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/ec/ | * |
| dc.subject | Pancreatitis | es_ES |
| dc.subject | Aguda | es_ES |
| dc.subject | Biliar | es_ES |
| dc.subject | Embarazo | es_ES |
| dc.subject | Dolor Abdominal | es_ES |
| dc.title | Pancreatitis biliar aguda en gestante de 27 semanas. | es_ES |
| dc.type | bachelorThesis | es_ES |
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