Frequent causes of hepatic cirrhosis in the ambulatory hospital of social security, Jipijapa, Manabí

Abstract

There are numerous causes that cause liver injuries that eventually lead to cirrhosis. The present work was carried out with the objective of identifying the frequent causes of liver cirrhosis in the Outpatient Hospital of the Social Security of Jipijapa, Manabí, Ecuador. A descriptive, longitudinal, retrospective study was carried out, considering for the study patients attended in gastroenterology consultations between January 2015 and January 2017, selecting those diagnosed with cirrhosis and with ages equal to or greater than 20 years in whose clinical history there are studies of etiological factors. The sample consisted of 64 patients. The histories of the Model AS 400 were reviewed and the necessary data were collected, analyzing possible etiological causes. For the statistical analysis, the frequency table was used in the software SPSS version 22.0 for Windows. Among the main results can be mentioned that liver cirrhosis increased with age, being more frequent among patients over 60 years without significant differences in sex. According to the time of diagnosis, the largest group of patients was between 0 and 5 years of age, with the number of patients decreasing to a longer follow-up period. The most frequent complication detected was the presence of esophageal varices. Hepatic steatosis followed by alcoholism associated with it, were the most frequent causes of cirrhosis.