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Cirujano general

versão impressa ISSN 1405-0099

Resumo

ENRIQUEZ-SANCHEZ, Luis Bernardo et al. Mortality in patients with intestinal failure in the Central State Hospital, Chihuahua, Mexico. Cir. gen [online]. 2020, vol.42, n.3, pp.197-202.  Epub 25-Jul-2022. ISSN 1405-0099.  https://doi.org/10.35366/99959.

Intestinal insufficiency is defined as “a reduction of the functional intestinal mass below the minimum amount needed for proper digestion and absorption of food”. A rare condition, usually secondary to major abdominal surgery. It is characterized by an inadequate intestinal function for the absorption of nutrients and electrolytes, which would affect the nutritional status and the expectation of survival without the intravenous administration of nutrients and electrolytes. In recent decades the importance of this entity has been taken into account, with publications that deal with its treatment, mortality, life expectancy and related factors, however, the data are still insufficient, even more so in our environment.

Objective:

To describe the rates and causes of mortality among patients with intestinal failure of the Intestinal Failure Unit of the Central Hospital of the State in Chihuahua, Chih.

Material and methods:

Patients admitted to our Intestinal Failure Unit between March 2016 and March 2018 were enrolled. We conducted a two-year retrospective cross-sectional study.

Results:

It was found that 37% of the patients included in the study (20/53) died due to intestinal failure. According to the intestinal failure functional classification type, type II intestinal failure was the one that carried the highest mortality rate. According to its pathophysiology classification type a greater mortality was found due to short bowel syndrome, following intestinal dysmotility.

Conclusions:

It is important to know the association between the main types of intestinal failure and their main causes of mortality in our environment, in order to promptly manage our patients with adequate treatments and thereby reduce mortality rate at our unit.

Palavras-chave : Intestinal failure; post-operative complications; mortality; abdominal surgery.

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