HEMORRHOIDAL DISEASE: EPIDEMIOLOGIC REVIEW IN VENEZUELA

Abstract

Objective: A review of medical records was performed with the diagnosis of hemorrhoidal disease evaluated in the Colorectal Unit at Instituto Autónomo Hospital Universitario de Caracas, during the period between 2006 and 2013, according to data from its Department of Health Statistics. Methods: This is a descriptive, retrospective and cross-sectional study, which was sampled the entire population, which will consist of the medical records of 585 patients who were evaluated in the Colorectal Unit with the diagnosis of hemorrhoidal disease during the period from January 2006 to December 2013. The statistical analysis was performed using descriptive statistical analysis of each of the study variables. For qualitative variables, the absolute frequency and percentage was estimated; variable for the quantitative
measurement of central tendency was calculated. SPSS version 17 for the performance of the database and tabulation of results was used Results: The sample consisted of 585 medical records pertaining to evaluated in the Colorectal Unit, in the period January 2006 to December 2013. In the sample studied, corresponding to 324 females and 261 males, by age groups: 11 to 20 years, 14 cases; 21 to 30 years, 69 cases; 31 to 40 years, 126 cases; 41 to 50 years, 152 cases; of 51 to 60 years, 130 cases; 61-70 years, 65 cases; 71 to 80 years, 25 cases and 81 to 90 years, 4 cases. Most of the patients belonging to the group of 31 to 60 years. According to the classification of hemorrhoidal disease, grade I, 38 cases; grade II, 254 cases; grade III and grade IV 247 cases, 46 casos.Fueron surgically treated 84 patients, equivalent to 14.35% of the cases, using techniques such as the method of Milligan and Morgan in 46 cases, with autosuture hemorrhoidopexy in 30 cases, Ferguson and Obando in 7 cases and in 1 case respectively. Of the patients evaluated, 63 patients (10.76%) with anal fissure were enrolled, 54 thrombosed hemorrhoids (9.23%) and 43 with mucosal prolapse
(7.35%). Conclusion: The collected information can be compared with the studies of other authors that previously described similar results in some ways and small differences could be considered as not significant.