Journal: | Revista argentina de cirugía |
Database: | PERIÓDICA |
System number: | 000440309 |
ISSN: | 0048-7600 |
Authors: | Amarillo, Hugo A1 Tacchi, Pablo2 García, Martín2 Sánchez Ruiz, Alejandro2 Borquez, Vicente2 Baistrocchi, Julio3 Baistrocchi, Héctor3 Díaz, Luis4 Rodríguez, Gerardo Martín5 Funes, Carlos6 Ruiz, Hernán6 |
Institutions: | 1Sanatorio Modelo, San Miguel de Tucumán, Tucumán. Argentina 2Centro Integral de Endoscopía y Coloproctología, Salta. Argentina 3Unidad Digestiva, Córdoba. Argentina 4Centro de Especialidades Médicas, Neuquén. Argentina 5Centro de Medicina Ambulatoria y Clínica Vrsalovic, Formosa. Argentina 6Hospital Británico, Servicio de Coloproctología, Buenos Aires. Argentina |
Year: | 2020 |
Season: | Jun |
Volumen: | 112 |
Number: | 3 |
Country: | Argentina |
Language: | Español |
Document type: | Artículo |
Approach: | Analítico, descriptivo |
Spanish abstract | Introducción: la seguridad de la colonoscopia realizada por cirujanos y el tratamiento de sus complicaciones han sido analizados aisladamente y en escasas publicaciones nacionales. Objetivos: el objetivo principal del estudio fue analizar las colonoscopias realizadas por cirujanos colorrectales, sus complicaciones y resolución. El objetivo secundario fue comparar los resultados entre un hospital universitario y distintos centros del país dotados de cirujanos colorrectales que habían recibido entrenamiento en una residencia posbásica. Material y métodos: estudio multicéntrico, prospectivo a nivel nacional. Se incluyeron las colonosco pias realizadas entre 2011 y 2016 . Se analizaron como variables las complicaciones, edad, sexo, tipo de endoscopia, diagnóstico, tratamiento, sitio de realización y de entrenamiento del cirujano. Se ex presaron en promedios, porcentajes y rangos. El análisis estadístico consistió en el test exacto ordinal, relaciones y proporciones y exacto de Fisher. Se consideró significancia a p < 0,05. Resultados: de 24 907 procedimientos, 17 283 fueron diagnósticos y 17 202 provenían de centros del interior. Hubo 43 complicaciones (0,17%); 35 específicas: perforaciones (19), hemorragias (8), sín drome pospolipectomía (5) y técnicas (3), diagnosticadas y resueltas por el mismo equipo sin mor bimortalidad. No hubo diferencias en las complicaciones según el centro ni tipo de colonoscopia en incidencia o tratamiento. Todos los cirujanos se entrenaron en residencias de posgrado con programas de entrenamiento en colonoscopia. Conclusiones: existen similares resultados entre cirujanos provenientes de instituciones con residen cia posbásica y centros del interior al realizar colonoscopias. La colonoscopia realizada por cirujanos es un procedimiento seguro y posible de ser adquirido como competencia luego de un entrenamiento formal realizado en una residencia posbásica |
English abstract | Introduction: The safety of colonoscopies performed by surgeons and the management of their com plications has not been analyzed in depth in the low number of national publications. Objective: The primary endpoint of this study was to analyze the outcomes of colonoscopies perfor med by colorectal surgeons, in terms of complications. and their resolution. The secondary endpoint was to compare the results between a university hospital and different centers nationwide staffed with colorectal surgeons who had received formal training during a residency program in the surgical subspecialty. Material and methods: We conducted a multicenter, prospective and consecutive national study. The colonscopies performed between 2011 and 2016 were included. The variables analyzed included complications, age, sex, type of endoscopy, diagnosis, treatment, location were the procedure was performed and surgeon’s training. The results were expressed as mean, percentage and range. The statistical analysis was performed using Fisher’s exact test. A p value < 0.05 was considered statistically significant. Results: A total of 24,907 procedures were performed, 17,283 corresponded to diagnostic colonosco pies and 17,202 were made in provincial centers. Forty-four complications were recorded (0.17%), of which 35 were procedure-related complications: 19 perforations, 8 bleeding events, 5 post-polypec tomy syndromes and three related with the technique; all were diagnosed and solved by the same team without morbidity and mortality. There were no differences in the incidence of complications and how they were treated according to the center or type of colonoscopy. All the surgeons received colonoscopy training during a residency program in the surgical subspecialty. Conclusions: The results obtained in colonoscopies performed by surgeons trained in institutions with residency programs in surgical subspecialties are similar t Safe colonoscopies can be performed by surgeons who ha |
Disciplines: | Medicina |
Keyword: | Cirugía, Gastroenterología, Educación médica, Colonoscopia, Perforación intestinal, Complicaciones quirúrgicas |
Keyword: | Surgery, Gastroenterology, Medical education, Colonoscopy, Intestinal perforation, Surgical complications |
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