Hiperlipasemia posoperatoria en apendicitis perforada en niños / Postoperative hyperlipasemia in perforated appendicitis in children
Cir. pediátr
; 35(4): 160-164, Oct. 2022. tab, ilus
Artigo
em Espanhol
| IBECS
| ID: ibc-210857
Biblioteca responsável:
ES1.1
Localização: ES15.1 - BNCS
RESUMEN
Objetivo:
El objetivo del estudio es evaluar los casos de hiper-lipasemia detectados en el posoperatorio de la apendicitis perforada.Material ymétodo:
Se evaluaron retrospectivamente los casos deapendicitis perforada en nuestro centro durante 7 años (2013-2019),seleccionando aquellos con mediciones preoperatorias y posoperatorias de lipasa sérica. Las diferentes variables recogidas se analizaron estadísticamente de manera descriptiva y univariante.Resultados:
Se estudiaron un total de 88 pacientes que se dividieron en tres grupos según el valor de la lipasa posoperatoria 57 correspondenal grupo 1 (lipasa 70-194 U/L, rango normal), 20 al grupo 2 (lipasa 195-582 U/L) y 11 al grupo 3 (lipasa > 582 U/L, valor tres veces por encimadel normal). Las variables que mostraron diferencias estadísticamentesignificativas fueron el sexo, el absceso posoperatorio, la suboclusión/oclusión intestinal posoperatoria, la lipasa preoperatoria, los días denutrición parenteral, los días de ingreso en UCI y los días de estanciahospitalaria. La lipasa posoperatoria mostró una correlación moderadacon la lipasa preoperatoria y ningún caso cumplió criterios diagnósticosde pancreatitis aguda.Conclusiones:
La hiperlipasemia en el posoperatorio de la apendicitis perforada no se asocia al desarrollo de pancreatitis clínica, perosí se asocia a una peor evolución en relación con un aumento de complicaciones, como la suboclusión/oclusión intestinal y el absceso intraabdominal, y un mayor número de días de ingreso en UCI, de díasde nutrición parenteral y de estancia hospitalaria. Existe una moderadacorrelación entre la lipasa preoperatoria y posoperatoria, de modo queambas podrían ser útiles como marcadores pronósticos.(AU)ABSTRACT
Objective:
The objective of this study was to assess the hyperli-pasemia cases detected in the postoperative period of perforated ap-pendicitis. Materials andmethods:
A retrospective analysis of the perforatedappendicitis cases occurred in our institution over a 7-year period (2013-2019) was carried out. Only cases where preoperative and postoperativeserum lipase levels were available were included. The variables collectedwere statistically assessed by means of a descriptive, univariate analysis.Results:
A total of 88 patients were studied. They were divided into3 groups according to postoperative lipase levels 57 were allocatedto Group 1 (lipase 70-194 U/L, normal range), 20 were allocated toGroup 2 (lipase 195-582 U/L), and 11 were allocated to Group 3 (li-pase > 582 U/L, which triples normal levels). Statistically significantdifferences were found in the following variables sex, postoperativeabscess, postoperative subocclusion/intestinal occlusion, preoperativelipase levels, days of parenteral nutrition, days of ICU stay, and daysof hospital stay. Postoperative lipase had a moderate correlation withpreoperative lipase, and none of the cases met acute pancreatitis di-agnostic criteria.Conclusions:
Hyperlipasemia in the postoperative period of perfo-rated appendicitis is not associated with developing clinical pancreatitis,but it is associated with worse progression in terms of increased compli-cations, such as subocclusion/intestinal occlusion and intra-abdominalabscess, and longer ICU stay, hospital stay, and parenteral nutrition.There is a moderate correlation between preoperative and postoperativelipase, which means they could both prove useful as prognostic markers.(AU)
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Apendicectomia
/
Apendicite
/
Apêndice
/
Complicações Pós-Operatórias
/
Período Pós-Operatório
/
Obstrução Intestinal
/
Lipase
Limite:
Criança
/
Feminino
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Cir. pediátr
Ano de publicação:
2022
Tipo de documento:
Artigo
Instituição/País de afiliação:
Hospital Universitario Álvaro Cunqueiro/España