Comparación de endoscopias al diagnóstico y control en enfermedad inflamatoria intestinal en el Hospital de Especialidades José Carrasco Arteaga área de Gastroenterología de enero 2012 a diciembre 2022

Abstract

Background: Globally, there is an increase in Inflammatory Bowel Disease, with an incidence for Ulcerative Colitis and Crohn's Disease ranging from 1.5 to 25 and 0.8 to 9.8 per 100,000 inhabitants, respectively. Objectives: To compare endoscopies at diagnosis and disease control for inflammatory bowel disease in patients at the José Carrasco Arteaga Specialized Hospital, in the gastroenterology department during the period between January 2012 to December 2022. Methods: A descriptive, quantitative, observational, retrospective study was conducted in the gastroenterology department of the José Carrasco Arteaga Specialized Hospital; through the application of endoscopic scales to 99 pairs of endoscopies, at diagnosis and control, done during the period between January 2012 to December 2022, and their subsequent comparison. Tabulation and analysis were performed with SPSS 25 and Excel 2019, with the following buildup of frequency tables and their analysis. Results: Of the total IBD endoscopies, 55.56% were men, and 65.66% were diagnosed with 40 years or more, with a mean age of 49,60 years. Ulcerative Colitis is more prevalent with 64.64%. In UC, 50.00% were type E2, with Mayo 3 activity in 46.88% at diagnosis. In CD, 48.57% were type L1, with moderate activity in 54.29% at diagnosis. At the control, there was less activity in all CD´s cases diagnosed as severe. Conclusions: Ulcerative Colitis type E2 was the most prevalent entity, with Mayo 3 activity at diagnosis. At control, both entities showed improvement in their inflammatory activity, which was more evident in CD.