Enfermedad vesicular inaparente o microlitiasis en pacientes con pancreatitis aguda: Una situación clínica frecuente

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dc.catalogadorjlo
dc.contributor.authorMiquel Poblete, Juan Francisco
dc.contributor.authorPrado Sanhueza, María Alejandra
dc.contributor.authorAsahi Kodama, Harumi Paz
dc.contributor.authorIbáñez Anrique, Luis Alberto
dc.contributor.authorGuzmán Bondiek, Sergio
dc.contributor.authorCruz Olivos, Francisco
dc.contributor.authorRollan Rodríguez, Antonio Rafael
dc.contributor.authorNervi Oddone, Flavio
dc.date.accessioned2024-08-08T17:17:07Z
dc.date.available2024-08-08T17:17:07Z
dc.date.issued1997
dc.description.abstractBackground: Patients with acute pancreatitis (AP) and a normal gallbladder by standard echographic evaluation may have "occult" gallbladder disease or microlithiasis with recurrent episodes of AP. Aim: To conduct a prospective evaluation of patients with the diagnosis of non-biliary AP in order to detect "occult" gallbladder disease and to compare its clinical presentation with that of biliary AP. Patients and methods: Patients admitted with the diagnosis of AP to a clinical hospital were included in the study. According to an abdominal ultrasound study, patients were classified as having or not cholelithiasis. A duodenal biliary drainage was performed in 15 patients with AP and without gallbladder stones. Results: Patients without cholelithiasis had recurrent AP more often than patients with biliary AP (53 and 33% respectively). Excessive alcohol ingestion did not rule out the possibility of biliary etiology. In 6 patients, the analysis of duodenal bile showed cholesterol crystals, and cholecystectomy confirmed the existence of gallbladder disease in 5. All of them remained asymptomatic during a follow-up period of four years. One patient refused surgery, with subsequent development of gallstones and recurrent episodes of AP. In other 4 patients, gallbladder disease was confirmed by percutaneous gallbladder puncture or during cholecystectomy. No recurrence of AP were observed during the follow-up. Conclusions: Microlithiasis or "occult" gallbladder disease accounts for at least 67% of the original "non-biliary" AP. Duodenal bile analysis is a useful and necessary technique for the evaluation of patients with "non-biliary" acute pancreatitis'. Careful clinical and echographic follow-up of this subgroup of patients with AP is mandatory.
dc.format.extent10 páginas
dc.fuente.origenScopus
dc.identifier.issn0034-9887
dc.identifier.pubmedid9580486
dc.identifier.scopusidSCOPUS_ID:0031197160
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/87363
dc.information.autorucEscuela de Medicina; Miquel Poblete, Juan Francisco; 0000-0002-0526-4377; 72216
dc.information.autorucEscuela de Medicina; Prado Sanhueza, María Alejandra; S/I; 644
dc.information.autorucEscuela de Medicina; Asahi Kodama, Harumi Paz; S/I; 75308
dc.information.autorucEscuela de Medicina; Ibáñez Anrique, Luis Alberto; S/I; 34202
dc.information.autorucEscuela de Medicina; Guzmán Bondiek, Sergio; S/I; 98439
dc.information.autorucEscuela de Medicina; Cruz Olivos, Francisco; S/I; 33696
dc.information.autorucEscuela de Medicina; Rollan Rodríguez, Antonio Rafael; 0000-0002-4997-4098; 100118
dc.information.autorucEscuela de Medicina; Nervi Oddone, Flavio; 0000-0002-6642-7985; 99156
dc.issue.numero8
dc.language.isoes
dc.nota.accesocontenido parcial
dc.pagina.final878
dc.pagina.inicio869
dc.revistaRevista Médica de Chile
dc.rightsacceso restringido
dc.subjectCalculi
dc.subjectCholelithiasis
dc.subjectGallbladder diseases
dc.subjectPancreatitis
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleEnfermedad vesicular inaparente o microlitiasis en pacientes con pancreatitis aguda: Una situación clínica frecuente
dc.title.alternativeOccult gallbladder disease or microlithiasis in patients with acute pancreatitis: A frequent clinical situation
dc.typeartículo
dc.volumen125
sipa.codpersvinculados72216
sipa.codpersvinculados644
sipa.codpersvinculados75308
sipa.codpersvinculados34202
sipa.codpersvinculados98439
sipa.codpersvinculados33696
sipa.codpersvinculados100118
sipa.codpersvinculados99156
sipa.trazabilidadScopus;12-10-2021
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