Incidence of asymptomatic gallstones in patients with biliary complications
DOI:
https://doi.org/10.31837/cir.urug.6.1.12Keywords:
gallstones, cholecystitis, acute cholecystitis, acute pancreatitis, complicationsAbstract
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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