Assessment of upper gastrointestinal pathology in patients with lithiasic cholecystopathy
Keywords:
esophagus, stomach, duodenum, colecistectomyAbstract
A prospectiva study was undertaken from may
1991 to october 1992 in 40 patients with
gal/bladder stones, with the aim of determining
possible changes that could have taken place in
the oesophagogastoduodenal tract, after
cho/ecistectomy
In al/ patients the following were carried out: c/inica/
history (type model), echography, cho/ecistography,
fibroendoscopic study of
oesophagus-stomach-duodenum with
oesophageal and antral biopsias in the
pre-operatory time.
he fol/ow-up was made 6 months ater the
cholecistectom, inc/uding a clinical control and an
endoscopic study with oesophageal and antral
biopsias. The studies revealed and increase of
superficial chronical gastritis, oesophagitis, erosive
gastritis, atrophic gastritis and intestinal
metaplasia, endoscopic and histologic as we/1.
We concluded that a large number of patients with
gallb/adder stones have a/so other associated
pathologies of the oesophagogastroduodenal tract,
and these have increased alter a cholecistectomy
his takes us to state that the resources far its
preoperatory diagnosis and posoperatory
follow-up should be carried to an extreme.
The classic criteria to prescribe cholecistectomy far
al/ patients with gallstones should be reviewed,
because the loss of the bile reserve organ favours
the enterogastric reflux, and this is an important
cause of increase of oesophagogastric pathology
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