Coledocolitiais en pacientes de 30-50 años de edad diagnóstico, tratamiento y complicaciones Hospital Universitario de Guayaquil
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
La coledocolitiasis es una enfermedad que suele cursar sin síntomas. La incidencia de esta enfermedad es del 10-15% en la población en general; y de estos, cerca del 70% son concomitantes con una colecistolitiasis. El 75 % de las mujeres tienen más riesgo de padecerla
Es una enfermedad en la que la clínica juega un papel muy importante, ya que permite un diagnóstico certero en casi la totalidad de los casos y pudiéndose valer de métodos complementarios como exámenes bioquímicos o métodos imagenológicos, de los cuales se destaca la ultrasonografía por su rápido acceso y poca invasión.
Se realizó un estudio retrospectivo con base en 421 pacientes con diagnostico probable de Coledocolitiasis en el periodo 2014-2015 y se extrajo una muestra de 73 pacientes.
De estos casos las principales manifestaciones presentadas al momento de la atención inicial fue el dolor abdominal, seguido por nauseas/vómitos y coluria.
La mayoría de los casos, en especial los que ingresaron por emergencias debutaron con una complicación, como fue la pancreatitis (54%) y la colangitis (4%), a partir de la que se investigó hasta llegar al diagnóstico de coledocolitiasis
Solo un 4% de los casos ingresó como un cuadro complicado con sepsis.
Se valió del empleo de la ultrasonografía para el diagnóstico y ulteriormente se confirmó que un gran porcentaje poseía de manera concomitante la presencia de colecistolitiasis, por lo que el procedimiento terapéutico de elección fue la colecistectomía laparoscópica
Choledocholithiasis is a disease that usually produces no symptoms. The incidence of this disease is 10-15% in the general population; and of these, about 70% are concomitant with a cholecystolithiasis. 75% of women are more at risk of suffering It is a disease in which the clinic plays a very important role because it allows an accurate diagnosis in almost all cases and can avail of complementary methods such as biochemical tests or imaging methods, of which the ultrasound is known for its fast and minimally invasive access. A retrospective study was based on 421 patients with probable diagnosis of choledocholithiasis in the period 2014-2015 and a sample of 73 patients was extracted. In these cases the main manifestations presented at the time of the initial attention was abdominal pain, followed by nausea / vomiting, and dark urine. Most cases, especially those admitted for emergency debuted with a complication, as was the pancreatitis (54%) and cholangitis (4%), from which we investigated until the diagnosis of choledocholithiasis Only 4% of cases entered as a complicated picture with sepsis. He used the use of ultrasound for the diagnosis and subsequently confirmed that a large percentage had concomitantly the presence of cholecystolithiasis, so the therapeutic method of choice was laparoscopic cholecystectomy
Choledocholithiasis is a disease that usually produces no symptoms. The incidence of this disease is 10-15% in the general population; and of these, about 70% are concomitant with a cholecystolithiasis. 75% of women are more at risk of suffering It is a disease in which the clinic plays a very important role because it allows an accurate diagnosis in almost all cases and can avail of complementary methods such as biochemical tests or imaging methods, of which the ultrasound is known for its fast and minimally invasive access. A retrospective study was based on 421 patients with probable diagnosis of choledocholithiasis in the period 2014-2015 and a sample of 73 patients was extracted. In these cases the main manifestations presented at the time of the initial attention was abdominal pain, followed by nausea / vomiting, and dark urine. Most cases, especially those admitted for emergency debuted with a complication, as was the pancreatitis (54%) and cholangitis (4%), from which we investigated until the diagnosis of choledocholithiasis Only 4% of cases entered as a complicated picture with sepsis. He used the use of ultrasound for the diagnosis and subsequently confirmed that a large percentage had concomitantly the presence of cholecystolithiasis, so the therapeutic method of choice was laparoscopic cholecystectomy
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Coledocolitiasis, Colecistolitiasis, Pancreatitis, Colangitis, Complicaciones, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador, Diagnóstico