Manejo terapéutico de enfermedad diverticular sangrante empleado en pacientes hospitalizados, en el Hospital Teodoro Maldonado Carbo, entre 2018 y 2020.

Abstract

ntroduction: Diverticulosis is a common disease in our hospital environment and is the main cause of bleeding in the colon. This is classified as asymptomatic and symptomatic diverticulosis,also known as diverticulitis. The associated risk factors for the development of the disease are sedentarism, obesity, low fiber diets, the intestinal microbiota, among others. The most frequent complications of the disease are the presence of fistulas, abscesses or risk of bleeding. Bleeding diverticular disease is one of the complications which management can occur both clinically and surgically, for which the following study seeks to know its most frequent form of management used in the environment. Materials and methods: This research is an observational, retrospective, cross-sectional and analytical study, carried out at the Teodoro Maldonado Carbo Specialty Hospital, in the period from January 2018 to December 2020, in the areas of Gastroenterology, Internal Medicine, Coloproctology and Surgery. There were a total of 1575 patients with diverticulosis but only 100 patients were selected because they presented, in the corresponding period, gastrointestinal bleeding due to diverticular disease. Results: sex is not associated with the presence of lower gastrointestinal bleeding due to diverticular disease. The most common presentation of the disease is hematochezia in a 73%. The most widely used therapeutic management is clinical with a 76%, over surgical for 24%.