Epidemiological profile of postoperative digestive fistulas

Background and objectives: Gastrointestinal fistulas are anomalous communications between the digestive system and other structures. This article presents the epidemiological profile of patients who developed postoperative abdominal fistulas and their outcomes. Methods: Cross-sectional study that ev...

ver descrição completa

Na minha lista:
Detalhes bibliográficos
Principais autores: Marochi, Bianca, Pereira, Daniela Thaís Lorenzi, Lattmann, Luiza Manfroi, Mais, Sthefany, Matos, Arthur Nathan Luiz Ferreira, Fukuchi, Thais Mayumi Komatsu, Beck Neto, Theodoro Busso, Chibata, Maurício, Almeida, Francisco Emanuel de
Formato: Online
Idioma:eng
Publicado em: FEDERAL UNIVERSITY OF RIO GRANDE DO NORTE, BRAZIL
Endereço do item:https://periodicos.ufrn.br/jscr/article/view/25642
Tags: Adicionar Tag
Sem tags, seja o primeiro a adicionar uma tag!
id oai:periodicos.ufrn.br:article-25642
record_format ojs
institution Periódicos UFRN
collection Portal de Pediódicos Eletrônicos da UFRN
language eng
format Online
author Marochi, Bianca
Pereira, Daniela Thaís Lorenzi
Lattmann, Luiza Manfroi
Mais, Sthefany
Matos, Arthur Nathan Luiz Ferreira
Fukuchi, Thais Mayumi Komatsu
Beck Neto, Theodoro Busso
Chibata, Maurício
Almeida, Francisco Emanuel de
spellingShingle Marochi, Bianca
Pereira, Daniela Thaís Lorenzi
Lattmann, Luiza Manfroi
Mais, Sthefany
Matos, Arthur Nathan Luiz Ferreira
Fukuchi, Thais Mayumi Komatsu
Beck Neto, Theodoro Busso
Chibata, Maurício
Almeida, Francisco Emanuel de
Epidemiological profile of postoperative digestive fistulas
author_facet Marochi, Bianca
Pereira, Daniela Thaís Lorenzi
Lattmann, Luiza Manfroi
Mais, Sthefany
Matos, Arthur Nathan Luiz Ferreira
Fukuchi, Thais Mayumi Komatsu
Beck Neto, Theodoro Busso
Chibata, Maurício
Almeida, Francisco Emanuel de
author_sort Marochi, Bianca
title Epidemiological profile of postoperative digestive fistulas
title_short Epidemiological profile of postoperative digestive fistulas
title_full Epidemiological profile of postoperative digestive fistulas
title_fullStr Epidemiological profile of postoperative digestive fistulas
title_full_unstemmed Epidemiological profile of postoperative digestive fistulas
title_sort epidemiological profile of postoperative digestive fistulas
description Background and objectives: Gastrointestinal fistulas are anomalous communications between the digestive system and other structures. This article presents the epidemiological profile of patients who developed postoperative abdominal fistulas and their outcomes. Methods: Cross-sectional study that evaluated surgical procedures done in a 25 week period that presented risks for fistulous formations. Were analyzed age, type of the surgery (elective or urgent), pre-existing risk factors, need for post-surgical intensive care unit, type of fistula, reoperations to the fistula treatment, and outcome (discharge or death). Results: There were 1785 abdominal surgical procedures, with a fistula incidence of 1.8%. Most of the patients who developed fistulas were over 60 years old (71.4%), and surgeries that resulted in fistulous complications were mainly urgent (75.0%), with the need for intensive care in 46.9%. The most frequent types of fistula were enteral (52.3%) and biliary (23.8%), and surgical treatment took place in 53.1% of cases. Late hospital discharge was predominant in these patients (40.6%), and the death rate was 3.1%. Discussion: These complications are common after abdominal surgery and require clinical attention. There is a correlation between the formation of the fistulas and urgent surgery procedures, directly impacting the length of hospital stay. Conclusion: The risk factors of fistula development are advanced age and the presence of malignant disease. They are more prevalent in urgent surgeries and patients were more likely to need reoperation and have a delay on discharge.
publisher FEDERAL UNIVERSITY OF RIO GRANDE DO NORTE, BRAZIL
publishDate 2021
url https://periodicos.ufrn.br/jscr/article/view/25642
work_keys_str_mv AT marochibianca epidemiologicalprofileofpostoperativedigestivefistulas
AT pereiradanielathaislorenzi epidemiologicalprofileofpostoperativedigestivefistulas
AT lattmannluizamanfroi epidemiologicalprofileofpostoperativedigestivefistulas
AT maissthefany epidemiologicalprofileofpostoperativedigestivefistulas
AT matosarthurnathanluizferreira epidemiologicalprofileofpostoperativedigestivefistulas
AT fukuchithaismayumikomatsu epidemiologicalprofileofpostoperativedigestivefistulas
AT becknetotheodorobusso epidemiologicalprofileofpostoperativedigestivefistulas
AT chibatamauricio epidemiologicalprofileofpostoperativedigestivefistulas
AT almeidafranciscoemanuelde epidemiologicalprofileofpostoperativedigestivefistulas
_version_ 1766682158034845696
spelling oai:periodicos.ufrn.br:article-256422021-12-28T06:07:56Z Epidemiological profile of postoperative digestive fistulas Marochi, Bianca Pereira, Daniela Thaís Lorenzi Lattmann, Luiza Manfroi Mais, Sthefany Matos, Arthur Nathan Luiz Ferreira Fukuchi, Thais Mayumi Komatsu Beck Neto, Theodoro Busso Chibata, Maurício Almeida, Francisco Emanuel de General surgery Risk factors Digestive system Background and objectives: Gastrointestinal fistulas are anomalous communications between the digestive system and other structures. This article presents the epidemiological profile of patients who developed postoperative abdominal fistulas and their outcomes. Methods: Cross-sectional study that evaluated surgical procedures done in a 25 week period that presented risks for fistulous formations. Were analyzed age, type of the surgery (elective or urgent), pre-existing risk factors, need for post-surgical intensive care unit, type of fistula, reoperations to the fistula treatment, and outcome (discharge or death). Results: There were 1785 abdominal surgical procedures, with a fistula incidence of 1.8%. Most of the patients who developed fistulas were over 60 years old (71.4%), and surgeries that resulted in fistulous complications were mainly urgent (75.0%), with the need for intensive care in 46.9%. The most frequent types of fistula were enteral (52.3%) and biliary (23.8%), and surgical treatment took place in 53.1% of cases. Late hospital discharge was predominant in these patients (40.6%), and the death rate was 3.1%. Discussion: These complications are common after abdominal surgery and require clinical attention. There is a correlation between the formation of the fistulas and urgent surgery procedures, directly impacting the length of hospital stay. Conclusion: The risk factors of fistula development are advanced age and the presence of malignant disease. They are more prevalent in urgent surgeries and patients were more likely to need reoperation and have a delay on discharge. Justificativa e objetivos: As fístulas gastrointestinais são comunicações anômalas entre o sistema digestório e outras estruturas. Este artigo apresenta o perfil epidemiológico de pacientes que desenvolveram fístulas abdominais no pós-operatório e seus desfechos. Métodos: Estudo transversal que avaliou procedimentos cirúrgicos realizados no período de 25 semanas e que apresentavam risco para formações fistulosas. Foram analisados ??idade, tipo de cirurgia (eletiva ou urgente), fatores de risco pré-existentes, necessidade de unidade de terapia intensiva pós-cirúrgica, tipo de fístula, reoperações para tratamento da fístula e desfecho (alta ou óbito). Resultados: Foram realizados 1.785 procedimentos cirúrgicos abdominais, com incidência de fístula de 1,8%. A maioria dos pacientes que desenvolveram fístulas tinham mais de 60 anos (71,4%) e as cirurgias que resultaram em complicações fistulosas foram principalmente de urgência (75,0%), com necessidade de unidade de terapia intensiva em 46,9%. Os tipos de fístula mais frequentes foram enteral (52,3%) e biliar (23,8%), e o tratamento cirúrgico ocorreu em 53,1% dos casos. A alta hospitalar tardia foi predominante nesses pacientes (40,6%) e a taxa de óbito foi de 3,1%. Discussão: Essas complicações são comuns após cirurgias abdominais e requerem atenção clínica. Existe uma correlação entre a formação das fístulas e os procedimentos cirúrgicos de urgência, impactando diretamente no tempo de internação. Conclusão: Os fatores de risco para o desenvolvimento de fístulas são a idade avançada e a presença de doença maligna. Elas são mais prevalentes em cirurgias de urgência e os pacientes têm maior probabilidade de necessitar de reoperação e atrasar a alta. FEDERAL UNIVERSITY OF RIO GRANDE DO NORTE, BRAZIL 2021-12-28 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://periodicos.ufrn.br/jscr/article/view/25642 JOURNAL OF SURGICAL AND CLINICAL RESEARCH; Vol. 12 No. 2 (2021); 77-88 JOURNAL OF SURGICAL AND CLINICAL RESEARCH; v. 12 n. 2 (2021); 77-88 2179-7889 eng https://periodicos.ufrn.br/jscr/article/view/25642/15221 Copyright (c) 2021 JOURNAL OF SURGICAL AND CLINICAL RESEARCH

Registros relacionados