Revisión de hallazgos histológicos de biopsias obtenidas por endoscópia digestiva superior de mayo 2006-2007

Introduccion: Helicobacter pylori (HP), gastritis atrofica, metaplasia intestinal, displasia, carcinoma gastrico, son patologias gastricas, cuyo diagnostico es histologico. Objetivo: Revision de hallazgos histologicos obtenidos por biopsias del tracto digestivo superior en el Servicio de Gastroenterologia "Dr. Simon Beker" en el Hospital General del Oeste "Dr. Jose Gregorio Hernandez" Mayo 2006 - 2007. Pacientes Y Metodos: Se revisaron los archivos de biopsias del servicio, estudio retrospectivo, corte transversal, descriptivo. Analisis estadistico de las variables, calculo de la media aritmetica, mediana y desviacion estandar y chi cuadrado. Resultados: 599 pacientes, 67,4% femenino, 32,5% masculino, edad promedio de 47,3 anos, se encontro: gastritis cronica 49,4%, HP 37,6%, cardioesofagitis cronica 4,8%, duodenitis cronica 4,5%, esofago de Barrett 1,7%, esofagitis cronica 1,4%, duodenitis parasitaria 0,5%, metaplasia intestinal gastrica completa 1,1% e incompleta 1,8%, ADC poco diferenciado 0,9% y bien diferenciado 0,08%, hiperplasia foveolar 0,7%, polipo hiperplasico esofagico y papiloma escamoso ulcerado 0,08. De 571 pacientes con gastritis cronica, 434 (76%) presentaron infeccion por HP, con una asociacion estadisticamente significativa. Conclusion: gastritis cronica e infeccion por HP son los hallazgos histologicos mas frecuentes en nuestro centro. Introduction: Helicobacter pylori (HP), intestinal atrophic gastritis, intestinal methaplasy, dysplasia and gastric carcinoma are gastric pathologies that depend on a histological diagnosis. Objective: Revision of histological findings obtained by biopsies of the upper digestive tract in the "Dr. Simon Beker" Gastroenterology Service in the Hospital General del Oeste "Dr. Jose Gregorio Hernandez" May 2006 - 2007. Patients and Methods: Biopsies records of the Service were reviewed, a retrospective, cross sectional, descriptive study was performed; with statistic analysis of the variables, calculations of the arithmetic mean median, standard deviation and chi square. Results: 599 patients, 67.4% female, 32.5% male, mean age of 47.3 years, were found: chronic gastritis 49.4%, HP 37.6%, 4.8% chronic cardioesophagitis, chronic duodenitis 4 5%, 1.7% BarrettEs esophagus, chronic esophagitis 1.4%, 0.5% duodenitis, complete gastric intestinal methaplasy 1.1% and incomplete 1.8%, poorly differentiated ADC 0.9% and well differentiated 0.08%, 0.7% foveolar hyperplasia, esophageal hyperplasic polyps and ulcerated squamous papilloma 0.08. Of 571 patients with chronic gastritis, 434 (76%) were infected by HP, with a statistically significant association. Conclusion: chronic gastritis and infection by HP are the histological more frequent findings at our center.