Colecistolitiasis

COLECISTOLITIASIS
La vesícula biliar es el órgano que se encarga de almacenar y enviar al intestino la bilis producida en el hígado, la bilis es necesaria para la digestión de las grasas, este órgano digestivo es del tamaño aproximado de un higo y se encuentra por debajo del hígado, cuenta con un conducto de salida, que a su vez conecta con el conducto principal del hígado.

colecistolitiasis1
COLECISTOLITIASIS
Es la presencia de cálculos en la vesícula biliar

colecistolitiasis2

COLECISTITIS
Es la inflamación de la vesícula causada usualmente por la obstrucción del conducto de salida de la misma vesícula por cálculos (piedras, litos)

colecistolitiasis3

Cada vez que una persona come, sobre todo grasa, la vesícula se contrae para vaciar la bilis y llevar a cabo en el intestino la digestión de las grasas, si existe la presencia de una piedra (LITO) la salida de la bilis no ocurre y la vesícula inicia un proceso de contracción más intenso con el fin de vencer la resistencia de salida ,ocasionando con esto un cólico biliar (espasmo vesicular agudo) , si la contracción persiste ,se inicia un proceso inflamatorio en las paredes de la vesícula , aunado a la posibilidad de que la bilis se infecte, estableciendo con esto un cuadro agudo .
(Obstrucción, contracción, inflamación, infección)

FACTORES DE RIESGO
Mujeres, en edad fértil (entre 20 – 40 años), con sobrepeso
Uso de Anticonceptivos orales
El riesgo se va acumulando, a mayor edad más probabilidad de tener cálculos.
LOS CÁLCULOS PUEDEN SER DE 3 TIPOS
De pigmento, De colesterol y mixtos

NO EXISTE MEDICAMENTO QUE LOS DESHAGA definitivamente, ni alopático, ni homeopático.

PRESENTACION CLINICA
La mayor parte de los pacientes portadores de cálculos biliares son asintomáticos, cuando hay síntomas, se presenta con dolor en la parte superior del abdomen, típico dolor cólico después de ingesta de comidas, especialmente si son muy grasosas.
El dolor puede durar horas y en algunos casos no cede hasta que se intervenga de alguna manera, en otros casos duele un poco y remite.
Cuando hay dolor la persona tiene sudoración fría, inquietud y en algunos casos puede tener fiebre, que es el aviso de una complicación. Puede acompañarse de vomito, sensación de plenitud abdominal y distensión abdominal.
DIAGNÓSTICO

Se sospecha ante la presencia de los síntomas mencionados y se fortalece esta impresión con los datos recabados por la exploración física.
Se comprueba la mayor parte de las veces mediante una ecosonografía (ECO de abdomen) que demuestra la presencia de las piedras y el estado de las paredes de la vesícula, (Tamaño, grosor, datos de inflamación)
Exámenes de sangre son necesarios para evaluar la función del hígado y del páncreas, que frecuentemente pueden estar asociados a las complicaciones de esta enfermedad.

TRATAMIENTO
OBJETIVOS

En general el paciente debe ser tratado en ambiente hospitalario.
Calmar el dolor: es el primer objetivo
Reemplazo de fluidos
Antibióticos con evidencia de infección
Exámenes de valoración

El Objetivo final es la resolución definitiva del cuadro

La remoción de la vesícula con los cálculos en su interior es la meta de la cirugía, existen dos métodos:
Cirugía tradicional.-
Mediante anestesia general, llevar a cabo una cirugía abdominal abierta, con una incisión amplia.
Cirugía Laparoscópica.-
(Laparoscopia, significa: ver a través de la pared)
Mediante anestesia general llevar a cabo una técnica de incisión mínima.

colecistolitiasis4

Las ventajas de esta son: menor tiempo de recuperación, menor dolor postoperatorio, rápida incorporación a actividades cotidianas, cicatriz pequeña, sumamente eficaz en manos experimentadas.

La elección del tratamiento dependerá de cada paciente y su estado general
COMPLICACIONES

Las complicaciones tienden a presentarse después de varios cuadros de dolor agudo, aunque a veces en el primer cuadro doloroso pueden aparecer.
Las complicaciones locales (vesiculares) implican que, la vesícula se ha infectado, o que el cuadro de inflamación es tan extenso que las paredes del órgano ya no son recuperables.
Las complicaciones a otros órganos, implican que la obstrucción del cálculo ya no es solo de la vesícula sino que ha migrado y ahora ocluye los conductos hepáticos, o peor aun, el conducto pancreático.
En casos extremos la vesícula puede perforarse y comunicar a otros órganos creando un conducto anormal por el cual los cálculos pueden salir y obstruir el intestino.
Se ha relacionado la presencia de cálculos biliares al cáncer vesicular


Dr. Jorge E. Balli Martínez
Cirugía Laparoscópica
Gastroenterología Quirúrgica

68 Comments to “Colecistolitiasis”

  1. Austanor dice:

    Kamagra Drugs Cialis 37 Anni viagra Hotrexate

  2. Austanor dice:

    Is Zithromax Safe While Breastfeeding Viagra 100 Precio Farmacia cialis 5mg best price Buy Clomid Online Australia Durer Plus Longtemps Au Lit Ce Soir Priligy Cura

  3. Skin Alley dice:

    Good day! This is my first visit to your blog!
    We are a team of volunteers and starting a new initiative in a community in the same niche.
    Your blog provided us valuable information to work on. You have
    done a outstanding job!

  4. Bocchi and his colleagues first gave the men a single, 50 milligram dose of Viagra, and had them undergo a battery of cardiovascular tests. buy viagra The effects peaked after an hour and dropped back after four hours.

  5. Lesteep dice:

    Finasteride 5 Mg Online Cheap Isotretinoin 10mg Discount Ups Without Perscription With Free Shipping viagra Comprobar Con Propecia Levitra Sin Receta Madrid Generique De Cialis

  6. But do not stop taking any medicines without talking to your doctor first. where to buy viagra Careful documentation of episodes from the initial goal for this patient.

  7. Austanor dice:

    Cialis Providers Zithromax Use In Pregnancy viagra Cialis Und Aspirin

  8. Lesteep dice:

    Cialis Paypal order cialis online Wie Wirkt Viagra Bei Der Frau Amoxicillin Next Day Shipping Propecia Malaga

  9. Jamesnom dice:

    Reach Your Goals By Using These Online Business Tips

    Do you believe somebody who said that you might open a house business today, and in the end make enough money to be able to quit your own job? Many people try and say that you could work at home. You can find no hidden tricks to it, despite the fact that you can accomplish it. The info here will help discover how to get moving.

    All of your efforts should keep your home business customers happy. It really is simpler to generate income from repeat buyers rather than attract new ones. Happy customers can come back for additional.

    Search for websites where work from home business owners gather. There is certainly reliable information accessible on the internet, plus a quick search will result in many good sites. There are plenty of bloggers that offer helpful tips on the Internet, too.

    You want a separate PO Box set up for your house based business. Don’t put your property address online in the event you don’t must. This will help protect the identities of your and you family.

    Go the extra mile if you would like help make your customers happy. Give customers freebies whenever they get your products, and let them know that you just appreciate their business by thanking them for his or her orders. Customers love to feel acknowledged with regard to their business. Tell them that they are vital that you your company.

    You have to have a passionate workplace when working at home. It needs to be comfortable, although you don’t have to have a gigantic office. It ought to be somewhere you may be productive and efficient. It doesn’t matter what size it really is, that can be done well in almost any space with the right planning.

    Soliciting support from the loved ones are vital to the achievements your brand-new online business enterprise. As it demands a large time commitment, running a business from your own home can be difficult and stressful. You will notice that you could be not able to flourish in running your work at home business if they are not likely to supply you with the time you want.

    There are actually lots of people who run their particular home businesses online. Shop around the world wide web for forums or discussion boards where individuals your small business swap strategies. Finding these conversations can provide you with some terrific tips for improving your own house business enterprise.

    Tax deductions are your friend. That’s among most essential things for you to remember as the owner of the online business enterprise. By claiming every one of the deductions which you are entitled, you may save a considerable amount of cash on your taxes.

    Whenever you receive your check in the mail, you need to bring it towards the bank immediately. Try to deposit on a daily or weekly basis. In the event you don’t leave your check laying around, you’re less likely to lose it. To guarantee your deposit can make it to your account quickly and without hassle, pick the teller on the ATM machine.

    While reading this article article, hopefully you were inspired to take your way of life in your own hands. You had been given plenty of tips about starting a property business, and this is the time to get the bull with the horns and go for it! You can keep this article for reference to see whenever you are not sure what the next step you need to be taking is.

    https://uptomag.com/oody-geffen-multi-millionaire/

    geffen oody

  10. Austanor dice:

    Does Propecia Work Clomid Accident Fausse Couche Viagra Und Poppers viagra Lamotrigine

  11. Lesteep dice:

    Lamisil Tablets At Ebay Precio Cialis 5 Mg Original Costo Finasteride Comprar Propecia generic viagra Comprar Cialis A Buen Precio Z Pack Zithromax Levitra Sublinguale Prezzo

  12. Lesteep dice:

    Generique Amoxicillin Sans Ordonnance En Ligne Kamagra Jelly Schweiz cialis online Periactin Amazon Elevex Kamagra

  13. Austanor dice:

    Viagra Generico 50 Mg canadian pharmacy cialis Vente Cialis En Ligne Didronel Sildenafil Generique 20 Mg

  14. Lesteep dice:

    Child’S Dosage Of Keflex Driclor Walmart Cialis 10 Mg Tadalafil Viagra Cream For Men Medicament Cialis Effet

  15. This information is invaluable. How can I find out
    more?

  16. Does your blog have a contact page? I’m having problems locating it but, I’d like to shoot you
    an email. I’ve got some creative ideas for your blog you might be interested in hearing.
    Either way, great blog and I look forward to seeing it
    expand over time.

  17. Woah! I’m really loving the template/theme of this blog. It’s simple, yet effective.
    A lot of times it’s very hard to get that “perfect balance” between usability and visual appeal.
    I must say you’ve done a excellent job with this. Also, the blog loads
    super quick for me on Opera. Outstanding Blog!

  18. These are truly great ideas in regarding blogging.
    You have touched some pleasant factors here. Any way keep up wrinting.

  19. Hi there i am kavin, its my first time to commenting anyplace,
    when i read this piece of writing i thought i could also make comment due to
    this good paragraph.

  20. What’s up Dear, are you actually visiting this web site on a regular
    basis, if so afterward you will without doubt get pleasant know-how.

  21. Saved as a favorite, I love your website!

  22. Hello to every single one, it’s in fact a nice for me to pay
    a visit this site, it includes valuable Information.

  23. hello there and thank you for your info – I
    have certainly picked up something new from right here. I did however expertise a few technical issues using this web site, since I experienced to reload the site a lot of times previous
    to I could get it to load properly. I had been wondering if your web host is OK?
    Not that I am complaining, but slow loading instances times will sometimes affect your
    placement in google and could damage your high quality score if ads and
    marketing with Adwords. Anyway I’m adding this RSS
    to my e-mail and can look out for much more of your respective interesting content.
    Make sure you update this again very soon.

  24. Hello, everything is going well here and ofcourse every one is
    sharing facts, that’s genuinely fine, keep up writing.

  25. If you desire to take a good deal from this post then you have to apply such methods to your
    won web site.

  26. veći penis dice:

    Fantastic post but I was wondering if you could write a litte more on this topic?
    I’d be very grateful if you could elaborate a little bit
    further. Many thanks!

  27. I don’t ordinarily comment but I gotta admit regards for the post on this one :
    D.

  28. apsense.com dice:

    Everything published was very reasonable. However, what about this?
    suppose you typed a catchier post title? I mean, I
    don’t want to tell you how to run your website, however suppose you added a
    headline that grabbed a person’s attention? I mean Colecistolitiasis |
    Dr. Ramón Paz Campos is kinda plain. You should look at Yahoo’s home
    page and see how they write article headlines to grab people to click.
    You might try adding a video or a picture or two to get people excited about everything’ve
    written. In my opinion, it could bring your posts a little bit
    more interesting.

  29. I was just searching for this information for some time.
    After 6 hours of continuous Googleing, finally I got it in your web site.
    I wonder what’s the lack of Google strategy that do not rank this type
    of informative websites in top of the list. Normally the top web sites are full of garbage.

  30. Like!! Great article post.Really thank you! Really Cool.

  31. enetget.com dice:

    Yay google is my queen helped me to find this great website!

  32. onmogul.com dice:

    Way cool! Some very valid points! I appreciate you penning this post plus the rest of the website is really good.

  33. Theda dice:

    Hi! Someone in my Facebook group shared this site with us so I
    came to check it out. I’m definitely enjoying the information. I’m book-marking
    and will be tweeting this to my followers! Exceptional blog and amazing design and style.

  34. Hi there very cool web site!! Man .. Beautiful .. Amazing ..
    I’ll bookmark your blog and take the feeds additionally?
    I am glad to seek out numerous helpful info right here within the
    post, we’d like develop more techniques in this regard, thank you
    for sharing. . . . . .

  35. If some one needs expert view concerning blogging afterward i propose him/her to visit this blog, Keep up the fastidious job.

  36. I don’t unremarkably comment but I gotta tell appreciate it for the post on this one :D.

  37. Hello colleagues, nice piece of writing and pleasant urging commented here, I am actually enjoying by these.

  38. I like what you guys are up also. Such clever work and
    reporting! Keep up the superb works guys I have incorporated you guys to my blogroll.

    I think it will improve the value of my web site :).

  39. codepen.io dice:

    Terrific article! This is the kind of information that should
    be shared across the internet. Shame on the search engines for
    not positioning this publish higher! Come on over and consult with my website .

    Thank you =)

  40. I don’t commonly comment but I gotta admit regards for
    the post on this great one :D.

  41. I cherished up to you will obtain carried out right here.
    The sketch is attractive, your authored subject matter stylish.
    nonetheless, you command get bought an nervousness over that you wish be turning in the following.
    in poor health no doubt come more before once more since precisely the same nearly very steadily inside of case you
    shield this increase.

  42. I was just looking for this info for a while. After 6 hours
    of continuous Googleing, at last I got it in your website.

    I wonder what’s the lack of Google strategy that do not rank this
    kind of informative sites in top of the list. Usually the top sites are full of garbage.

  43. If some one wishes expert view concerning running a blog then i suggest him/her to pay a quick visit this blog, Keep up
    the good job.

  44. trello.com dice:

    I conceive you have noted some very interesting details, thanks for the
    post.

  45. I believe you have noted some very interesting details, thank you for the
    post.

  46. I was just seeking this info for a while. After 6 hours of
    continuous Googleing, finally I got it in your website.
    I wonder what is the lack of Google strategy that don’t rank this type of
    informative web sites in top of the list. Normally the top websites are full of garbage.

  47. Jorg dice:

    Right now it sounds like WordPress is the top blogging platform
    out there right now. (from what I’ve read) Is that what you are using on your blog?

  48. Howdy very nice web site!! Guy .. Beautiful .. Amazing ..
    I will bookmark your blog and take the feeds additionally?

    I’m glad to find a lot of useful info right here within the publish, we need work out extra techniques in this regard, thank you for sharing.
    . . . . .

  49. Hey There. I found your blog using msn. This is a very well
    written article. I’ll make sure to bookmark it and return to read more of your useful info.

    Thanks for the post. I will definitely return.

  50. Yay google is my world beater assisted me to find this great web site!

  51. I don’t usually comment but I gotta admit thanks for the post on this amazing one :
    D.

  52. What’s up colleagues, pleasant paragraph and pleasant arguments commented at this place, I am in fact enjoying
    by these.

  53. You are my intake, I have few blogs and often run out from brand
    :).

  54. Hello mates, pleasant article and good urging commented
    at this place, I am really enjoying by these.

  55. sokzyqglynC dice:

    I was having trouble figuring out what I should to do. I tried so profuse other things prior to I came to a terminal conclusion. My ally and I were talking the same hour, and it discover me out-moded of nowhere. I out of the blue realized that I heard of a website some point ago that would better me out. I came on here because I wanted to allocation my shocking detection with you all. Here it is: best personal loans online

Leave a Reply

Your email address will not be published.