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Colecistitis crónica - Treatment

Nombres alternativos

Colecistitis de tipo crónico

Tratamiento:

La cirugía es el tratamiento habitual. La extirpación quirúrgica de la vesícula biliar se denomina colecistectomía.

  • La colecistectomía laparoscópica es la que se realiza con mayor frecuencia. En esta cirugía, se utilizan incisiones quirúrgicas más pequeñas, lo cual lleva a una recuperación más rápida. Los pacientes con frecuencia se van para su casa el mismo día de la cirugía o a la mañana siguiente.
  • La colecistectomía abierta requiere una incisión más grande en el cuadrante superior derecho del abdomen.

En pacientes que están demasiado enfermos para someterse a la cirugía debido a otras enfermedades o padecimientos, los cálculos biliares pueden disolverse con medicamentos tomados por vía oral. Sin embargo, esto puede tardar dos años o más para hacer efecto y los cálculos pueden retornar después del tratamiento.

Pronóstico:

La colecistectomía es un procedimiento común que ofrece un riesgo bajo.

Posibles complicaciones:

  • Cáncer de la vesícula biliar (rara vez).
  • Ictericia.
  • Pancreatitis.
  • Empeoramiento de la afección.

Cuándo contactar a un profesional médico:

Solicite una cita con el médico si presenta cualquier síntoma de colecistitis.

  • Reviewed last on: 2/7/2011
  • George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Wang DQH, Afdhal NH. Gallstone disease. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier;2010:chap 65.

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