Cholecystectomy and post-cholecystectomy suffering
1) Conditions ansmg as a result of cholecystectomis should be regarded as an important chapter in patholo.gy, comprising every' disease clinically manifest asan involvement of the doudeno-biliary junction. 2} A discussion is carried out of the various designations...
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| Jazyk: | španělština |
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2020
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| On-line přístup: | https://revista.scu.org.uy/index.php/cir_urug/article/view/2014 |
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| _version_ | 1868890009072828416 |
|---|---|
| author | Varela López, J A |
| author2 | Peri, L |
| author2_role | author |
| author_browse | Peri, L Varela López, J A |
| author_facet | Varela López, J A Peri, L |
| author_role | author |
| collection | Revista Cirugía del Uruguay |
| dc.creator.none.fl_str_mv | Varela López, J A Peri, L |
| dc.date.none.fl_str_mv | 2020-10-26 |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | https://revista.scu.org.uy/index.php/cir_urug/article/view/2014 |
| dc.language.none.fl_str_mv | spa |
| dc.publisher.none.fl_str_mv | Sociedad de Cirugía del Uruguay |
| dc.relation.none.fl_str_mv | https://revista.scu.org.uy/index.php/cir_urug/article/view/2014/1946 |
| dc.rights.none.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.source.none.fl_str_mv | Cirugía del Uruguay; Vol. 38 No. 3-4 (1968): Revista de Cirugía del Uruguay; 150-155 Cirugía del Uruguay; Vol. 38 Núm. 3-4 (1968): Revista de Cirugía del Uruguay; 150-155 Cirugía del Uruguay; v. 38 n. 3-4 (1968): Revista de Cirugía del Uruguay; 150-155 1688-1281 0009-7381 reponame:Revista Cirugía del Uruguay instname:Sociedad de Cirugía del Uruguay instacron:Sociedad de Cirugía del Uruguay |
| dc.subject.none.fl_str_mv | cirugía biliar vesícula biliar complicaciones postquirúrgicas billiary surgery gallbladder postsurgical complications |
| dc.title.none.fl_str_mv | Cholecystectomy and post-cholecystectomy suffering Colecistectom´`ia y sufrimientos postcolecistectomía |
| dc.type.none.fl_str_mv | info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/publishedVersion |
| description | 1) Conditions ansmg as a result of cholecystectomis should be regarded as an important chapter in patholo.gy, comprising every' disease clinically manifest asan involvement of the doudeno-biliary junction. 2} A discussion is carried out of the various designations proposed for the symptoms persisting after the cholecystectomy and of the conceptual confusioncaused by sorne of them. 3) From studies conducted by other authors and by ourselves it may · be inferred that: a) Most of the poor results of cholecystectomies on functioning gallbladders are due solely to the higher frequency of cases where they are erroneously blamed for the involvement. In non-functioning gall-bladders the frequency of such erroris lower. b) Neither does the percentage. of good or poor results depend upon the presence or absence of gallstones but on the percentage of error in the indicationof surgery, which is higher in cholecystopathies without stones. The patient's fate is closely dependant on a thorough understanding of every feature of the disease.4 It has been demonstrated that the true sequelae of cholecystectomies are of rare oc.currence and are confined to three fac. ors namely, immediate post-opera ti vecliarrhea due to atony of Oddi's sphincter, :g)l hypochondrium involvement owing to duodenal bend arising from gallbladder bed adbesions and the affliction originat:ing in an amputation neuroma. 5 A survey is carried out of therapeutic ·errors resulting in the persistence of symptoms following gallbladder surgery, attention being drawn to the important role played by an insufficient understanding of frequent neurotic disorders. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | anni_38134e97bbddbb55b3b488d8fcbe321b |
| instacron_str | Sociedad de Cirugía del Uruguay |
| institution | Sociedad de Cirugía del Uruguay |
| instname_str | Sociedad de Cirugía del Uruguay |
| language | spa |
| network_acronym_str | anni |
| network_name_str | oai-lr-anni |
| oai_identifier_str | oai:ojs2.revista.scu.org.uy:article/2014 |
| publishDate | 2020 |
| publishDateSort | 2020 |
| publisher.none.fl_str_mv | Sociedad de Cirugía del Uruguay |
| reponame_str | Revista Cirugía del Uruguay |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| spelling | Cholecystectomy and post-cholecystectomy sufferingColecistectom´`ia y sufrimientos postcolecistectomíaVarela López, J APeri, Lcirugía biliarvesícula biliarcomplicaciones postquirúrgicasbilliary surgerygallbladderpostsurgical complications1) Conditions ansmg as a result of cholecystectomis should be regarded as an important chapter in patholo.gy, comprising every' disease clinically manifest asan involvement of the doudeno-biliary junction. 2} A discussion is carried out of the various designations proposed for the symptoms persisting after the cholecystectomy and of the conceptual confusioncaused by sorne of them. 3) From studies conducted by other authors and by ourselves it may · be inferred that: a) Most of the poor results of cholecystectomies on functioning gallbladders are due solely to the higher frequency of cases where they are erroneously blamed for the involvement. In non-functioning gall-bladders the frequency of such erroris lower. b) Neither does the percentage. of good or poor results depend upon the presence or absence of gallstones but on the percentage of error in the indicationof surgery, which is higher in cholecystopathies without stones. The patient's fate is closely dependant on a thorough understanding of every feature of the disease.4 It has been demonstrated that the true sequelae of cholecystectomies are of rare oc.currence and are confined to three fac. ors namely, immediate post-opera ti vecliarrhea due to atony of Oddi's sphincter, :g)l hypochondrium involvement owing to duodenal bend arising from gallbladder bed adbesions and the affliction originat:ing in an amputation neuroma. 5 A survey is carried out of therapeutic ·errors resulting in the persistence of symptoms following gallbladder surgery, attention being drawn to the important role played by an insufficient understanding of frequent neurotic disorders.1) Los autores encuentran útil encarar los sufrimientos postcolecistectomía como un capítulo amplio de la patología. Este capítulo comprendería toda enfermedad que se exprese clínicamente como un sufrimiento de la encrucijada dtiodenobiliar. 2) Se revisan las distintas denominaciones que se han propuesto para los síntomas que persisten después de la colecistectomía y se analiza la confusión conceptual que introducen en el tema algunos de los vocablos empleados en estas denominaciones. 3) Se deduce de los estudios de otrosautores y de los propios: a) Que la mayor proporción de malos resultados en las colecistectomías realizadas sobre vesículas funcionantes, se deben únicamente a la mayor frecuencia con que se atribuye erróneamente a ellas el sufrimiento del paciente a las colecistopatías. En las vesículas no funcionantes la proporción de este error es menor.b) Que el porcentaje de buenos o malos resultados no depende tampoco de la presencia o ausencia de litiasis, sino del porcentaje de error en la indicación operatoria,que es mayor en las colecistopatías alitiásicas. c ) Que el destino del paciente lo decide el conocimiento exacto de todos los aspectos de su enfermedad. 4) Se demuestra que las verdaderas secuelas de la colecistectomía son una rareza y quedan reducidas a tres: la diarrea esfínter de Oddi, el sufrimiento de hipocondrio derecho por acodadura duodenaldebida a las adherencias al lecho vesicular y el sufrimiento originado en un neuroma de amputación. 5) Se resumen los errores terapéuticos que originan la persistencia de síntomasdespués de la cirugía biliar y se llama la atención sobre el papel importante que en ellos juega el desconocimiento de frecuentes perturbaciones neuróticas.Sociedad de Cirugía del Uruguay2020-10-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revista.scu.org.uy/index.php/cir_urug/article/view/2014Cirugía del Uruguay; Vol. 38 No. 3-4 (1968): Revista de Cirugía del Uruguay; 150-155Cirugía del Uruguay; Vol. 38 Núm. 3-4 (1968): Revista de Cirugía del Uruguay; 150-155Cirugía del Uruguay; v. 38 n. 3-4 (1968): Revista de Cirugía del Uruguay; 150-1551688-12810009-7381reponame:Revista Cirugía del Uruguayinstname:Sociedad de Cirugía del Uruguayinstacron:Sociedad de Cirugía del Uruguayspahttps://revista.scu.org.uy/index.php/cir_urug/article/view/2014/1946info:eu-repo/semantics/openAccessoai:ojs2.revista.scu.org.uy:article/20142026-06-16T04:48:14Z |
| spellingShingle | Cholecystectomy and post-cholecystectomy suffering Varela López, J A cirugía biliar vesícula biliar complicaciones postquirúrgicas billiary surgery gallbladder postsurgical complications |
| status_str | publishedVersion |
| title | Cholecystectomy and post-cholecystectomy suffering |
| title_full | Cholecystectomy and post-cholecystectomy suffering |
| title_fullStr | Cholecystectomy and post-cholecystectomy suffering |
| title_full_unstemmed | Cholecystectomy and post-cholecystectomy suffering |
| title_short | Cholecystectomy and post-cholecystectomy suffering |
| title_sort | Cholecystectomy and post-cholecystectomy suffering |
| topic | cirugía biliar vesícula biliar complicaciones postquirúrgicas billiary surgery gallbladder postsurgical complications |
| url | https://revista.scu.org.uy/index.php/cir_urug/article/view/2014 |