Examinando por Autor "Lalvay Zambrano, Dalila Steffania"
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- ÍtemAcceso AbiertoActualización del manejo clínico- terapéutico según la clasificación de Hinchey modificada de la enfermedad diverticular. Revisión Sistemática(Universidad Católica de Cuenca., 2024) Lalvay Zambrano, Dalila Steffania; Crespo Vintimilla, Edgar Adriano; 0106106826According to the modified Hinchey classification, diverticular disease is classified into uncomplicated and complicated diverticulitis (stenosis, perforation, abscess, or fistula), which can range from mild clinical symptoms to peritonitis and hemodynamic instability. The therapeutic management of acute uncomplicated diverticulitis (AUD) (0a and Ia) is based on symptom control. In contrast, complicated diverticulitis is based on surgical intervention, with the Hartmann procedure being the treatment of choice. Objective: To investigate the update on clinical-therapeutic management according to the modified Hinchey classification of diverticular disease. Methodology: A descriptive systematic review was conducted using a qualitative approach and a non-experimental design structured according to PRISMA 2020 guidelines. The information was based on scientific articles from PubMed, Google Scholar, SciELO, Elsevier, and NIH databases. Results: Twenty-seven articles were included in this review. PubMed: 9 articles, Google Scholar: 3 articles, SciELO: 1 article, NIH: 11 articles, and Elsevier: 3 articles. Conclusions: There is increasing evidence that not treating uncomplicated colonic diverticulitis with antibiotics is a safe and effective treatment alternative. In cases of Hinchey I and II, fluids, analgesia, and antibiotic therapy should be administered, and in cases of Hinchey II, percutaneous drainage will be evaluated according to the abscess size. Treatment in patients with Hinchey III to IV consists of emergency surgical intervention, with the Hartmann procedure being the most commonly used. Keywords: diverticulitis, diverticular disease, Hinchey, Hartmann procedure, treatment