Manejo de la pileflebitis como complicación post apendicectomía

Rodrigo Andrés Jordán Oña; Ivan Patricio Loaiza Merino

doi:10.46652/rgn.v9i40.1193

Rodrigo Andrés Jordán Oña Universidad Técnica de Ambato | Ambato | Ecuador
Ivan Patricio Loaiza Merino Universidad Técnica de Ambato | Ambato | Ecuador https://orcid.org/0000-0002-8413-2793

DOI: https://doi.org/10.46652/rgn.v9i40.1193

Palavras-chave: pileflebite; apendicite aguda; trombose; veia porta; revisão sistemática.

Resumo

A pileflebite é uma complicação rara, mas grave, associada a riscos como abscessos hepáticos, sepse e insuficiência hepática aguda com repercussões na forma de trombose da veia porta pós-apendicectomia. Portanto, o objetivo do estudo foi avaliar a eficácia dos protocolos de atendimento e gerenciamento para a pileflebite pós-apendicectomia a fim de identificar as melhores práticas clínicas e melhorar o atendimento ao paciente. Foi realizada uma revisão sistemática da literatura científica, aplicando amostragem não probabilística por conveniência. Foram selecionados 40 artigos científicos publicados entre 2018 e 2023, usando bancos de dados como PubMed/Medline, Elsevier Scopus, Science Direct e Taylor & Francis. Os resultados revelaram que a pileflebite pós-apendicectomia tem uma baixa incidência, afetando predominantemente homens, com sintomas como febre e dor abdominal. As causas mais comuns são diverticulite e apendicite aguda. O tratamento preferencial inclui antibióticos de amplo espectro e, em alguns casos, anticoagulantes. Pesquisas sugerem a necessidade de protocolos de atendimento padronizados para otimizar o gerenciamento dessa complicação.

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Biografia do Autor

Rodrigo Andrés Jordán Oña, Universidad Técnica de Ambato | Ambato | Ecuador

Interno Rotativo de Medicina del Hospital General Docente Ambato. Estudiante de la carrera de medicina de la Universidad Técnica de Ambato.

Ivan Patricio Loaiza Merino, Universidad Técnica de Ambato | Ambato | Ecuador

Especialista en Cirugía General y laparoscopía. Magister en Gerencia en Servicios de Salud. Médico tratante de cirugía general en Hospital General Ambato IESS, Hospital Santa Inés Ambato. Docente de Cirugía Universidad Técnica de Ambato. Docente de Internado Rotativo Universidad Autónoma de los Andes.

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