Análise clínica e do estado nutricional de pacientes submetidos à ressecção de segmentos de intestino delgado
Background: Segments of the digestive tract have specificities of nutrient absorption. The aim of this study was to identify factors related to outcome among patients submitted to intestinal resections in a university hospital. Material and methods: Retrospective, cross sectional study using a semi-...
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| Tipo de recurso: | tesis de maestría |
| Estado: | Versión publicada |
| Fecha de publicación: | 2017 |
| País: | Brasil |
| Institución: | Universidade Federal de Uberlândia (UFU) |
| Repositorio: | Repositório Institucional da UFU |
| Idioma: | portugués |
| OAI Identifier: | oai:repositorio.ufu.br:123456789/20561 |
| Acceso en línea: | https://repositorio.ufu.br/handle/123456789/20561 http://dx.doi.org/10.14393/ufu.di.2018.13 |
| Access Level: | acceso abierto |
| Palabra clave: | Ressecção Intestinal Bowel Resection Segmentos Intestinais Bowel Segments Taxa de Mortalidade Mortality Rate Síndrome do Intestino Curto Short Bowel Syndrome Desnutrição Malnutrition CNPQ::CIENCIAS DA SAUDE |
| Sumario: | Background: Segments of the digestive tract have specificities of nutrient absorption. The aim of this study was to identify factors related to outcome among patients submitted to intestinal resections in a university hospital. Material and methods: Retrospective, cross sectional study using a semi-structured specific form. A total of 169 medical records of patients submitted to intestinal resection from august 2007 to july 2013 were analyzed. Patients were grouped according to clinical evolution (hospital discharge / death) for analysis of the data. Results: Longer hospitalizations and age over 60 years were associated with a higher mortality rate. Among patients submitted to single (n=148) or multiple (n=21) enterectomy, the mortality rate was 33.8% (n=50 deaths) and 52.4% (n=11 deaths), respectively. Hospital discharge was more common among patients undergoing a single enterectomy. Among patients submitted to single resection, non-description of resected bowel segments increased the mortality rate (p=0.002). Remaining small intestine description was performed for 14 patients, and 11 of these patients met criteria for diagnosis of short bowel syndrome (SBS) (78.6%). SBS patients had a 90.9% mortality rate. For most enterectomized patients, no nutritional status assessment was performed (n=103, 60.9%). Patients classified as malnourished (n=19; 52.8%) had a higher mortality rate (p=0.032). Conclusion: The lack of description of the resected and / or remaining intestinal segments, as well as the non-evaluation of the nutritional status, contributed to the higher mortality rate of patients submitted to resection of bowel segments. |
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