Incidence of asymptomatic gallstones in patients with biliary complications
Introduction: Complications of gallstones are an important cause of morbidity in our country and throughout the world and generate high health costs. Objective: The objective of this study was to determine which patients with a complication of their bile duct stone pathology (cholecystitis, acute ch...
| Autores: | , , , , , , , |
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| Formato: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2022 |
| País: | Uruguay |
| Recursos: | Sociedad de Cirugía del Uruguay |
| Repositorio: | Revista Cirugía del Uruguay |
| Idioma: | español |
| OAI Identifier: | oai:ojs2.revista.scu.org.uy:article/5459 |
| Acesso em linha: | https://revista.scu.org.uy/index.php/cir_urug/article/view/5459 |
| Access Level: | acceso abierto |
| Palavra-chave: | litiasis biliar colecistitis colecistitis aguda pancreatitis aguda complicaciones gallstones cholecystitis acute cholecystitis acute pancreatitis complications cálculos biliares colecistite colecistite aguda pancreatite aguda complicações |
| Resumo: | Introduction: Complications of gallstones are an important cause of morbidity in our country and throughout the world and generate high health costs. Objective: The objective of this study was to determine which patients with a complication of their bile duct stone pathology (cholecystitis, acute cholangitis, acute pancreatitis) were previously asymptomatic, and this complication resulted in the onset of the disease. Place: Sanatorium Asociación Española de Socorros Mutuos, Montevideo Uruguay. Design: Descriptive and retrospective observational study with an analysis of medical records. Materials and Methods: 234 clinical cases were analyzed. Epidemiological characteristics, diagnostic methodology, treatments received, and complications were assessed in this group of patients. Results: Of the total number of patients (n=234), 109 (46.6%) had an asymptomatic gallbladder lithiasis and the biliary complication was the debut of their disease. Acute cholecystitis was the most frequent complication (68%), followed by acute cholangitis (22%) and third by acute pancreatitis (10%). The average age of presentation of the disease was 59 years. Conclusions: Almost half of the patients (46.6%) who presented a complication of their gallstones were asymptomatic. This would be an important argument to indicate laparoscopic cholecystectomy with a prophylactic criterion in patients with asymptomatic gallbladder lithiasis. |
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