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Coledocolitiasis - Treatment

Nombres alternativos

Cálculo biliar; Cálculo en las vías biliares

Tratamiento:

El objetivo del tratamiento es aliviar la obstrucción.

El tratamiento puede involucrar:

  • Cirugía para extirpar la vesícula y los cálculos
  • CPRE y un procedimiento llamado esfinterotomía, con el cual se hace una incisión quirúrgica intramuscular en el conducto colédoco

Expectativas (pronóstico):

El bloqueo e infección causados por cálculos en las vías biliares pueden ser potencialmente mortales. Sin embargo, el pronóstico generalmente es muy bueno con un diagnóstico y tratamiento oportunos.

Complicaciones:

Situaciones que requieren asistencia médica:

Se debe buscar asistencia médica si se presenta dolor abdominal, con o sin fiebre, que no sea atribuible a otras causas, si se presenta ictericia o si se desarrollan otros síntomas que sugieran la presencia de coledocolitiasis.

  • Reviewed last on: 6/3/2008
  • Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Verma D. EUS vs MRCP for detection of choledocholithiasis. Gastrointest Endosc. 2006;64(2):248-254.

Chari RS, Shah SA. Biliary system. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL. Sabiston Textbook of Surgery. 18th ed. St. Louis, Mo: WB Saunders; 2008:chap. 54.

Afdhal N. Diseases of the gallbladder and bile ducts. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap. 159.

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