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...

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Збережено в:
Бібліографічні деталі
Автор: Salom, Andrés (author)
Інші автори: Miranda, Andrés (author), Pais, Cecilia (author), Murias, Federico (author), Giliberti, Bruno (author), Abiuso, Luciano (author), Mastrogiovanni, Nicolás (author), Valiñas, Roberto (author)
Формат: article
Мова:Іспанська
Опубліковано: 2022
Предмети:
Онлайн доступ:https://revista.scu.org.uy/index.php/cir_urug/article/view/5459
Теги: Додати тег
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Резюме: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.