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Revista Virtual de la Sociedad Paraguaya de Medicina Interna
versión On-line ISSN 2312-3893
Resumen
VELAZQUEZ ABENTE, Sebastián y GIRALA SALOMON, Marcos. Etiology, stage and complications of liver cirrhosis in a reference hospital in Paraguay. Rev. virtual Soc. Parag. Med. Int. [online]. 2018, vol.5, n.2, pp.53-61. Epub 01-Sep-2018. ISSN 2312-3893. https://doi.org/10.18004/rvspmi/2312-3893/2018.05(02)53-061.
Introduction:
Liver cirrhosis is one of the main health problems in the world, due to its high morbidity and mortality.
Objectives:
To describe the epidemiological and clinical characteristics of liver cirrhosis in the Hospital de Clínicas.
Materials and methods:
Observational, descriptive, retrospective, cross-sectional study. We included 95 patients who consulted in the Department of Gastroenterology and Digestive Endoscopy in the period 2013-2014 and were diagnosed with liver cirrhosis.
Results:
The frequency of liver cirrhosis was 7.8% of the total of consultations in the Department of Gastroenterology and Digestive Endoscopy and 59% of the patients were male. The mean age at the time of the first consultation was 51±14 years. The most frequent etiology was alcohol consumption (51%). The functional Child-Pugh score of these patients was A in 44%, B in 39% and C in 17%. The mean of the MELD score was 13.84±4.75. The main complication was the presence of esophageal varices (82%).
Conclusion:
Liver cirrhosis was more frequent in men, alcohol consumption was the predominant etiology, Child-Pugh score A predominated and esophageal varices were the main complication.
Palabras clave : liver cirrhosis - etiology; liver cirrhosis - complications; liver cirrhosis - epidemiology.