Número total de operaciones de patología digestiva alta en Chile año 2011

Abstract

Background: There is paucity of information about the number of gastrointestinal surgical interventions in Chile. Aim: To report the number of gastrointestinal operations carried out in Chile during 2011. material and methods: Review of databases from the Department of Statistics and Health care information of the Ministry of Health. The two most common gastrointestinal surgical interventions and four highly complex interventions were selected. Results: The most common gastrointestinal intervention was cholecystectomy in 52.000 cases, followed by appendectomy in 37.000 cases. A gastrectomy for gastric cancer was performed in 1.032 cases, performing a total gastrectomy in 74% and with a 2.9% mortality. Esophagectomy was carried out in 42 patients with an overall mortality of 9.5%. A pancreatectomy for pancreatic cancer was performed in 102 patients (pancreatoduodenectomy in 68%), with an overall mortality of 5.9%. Bariatric surgery was performed in 2.834 cases (vertical gastrectomy in 70% and gastric bypass in 30%). Conclusions: Cholecystectomy was by far the most common surgical procedure performed. Esophagectomy and pancreatectomy were associated with a high mortality rate. Gastrectomy for gastric cancer had a low postoperative mortality.