Enfermedad litiasica biliar
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Transcript of Enfermedad litiasica biliar
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Enfermedad litiasica Enfermedad litiasica biliarbiliar
VesicularVesicularColedocianaColedocianaIntrahepaticaIntrahepatica
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EPIDEMIOLOGIAEPIDEMIOLOGIA
Poblacion generalPoblacion general SexoSexo EdadEdad RazaRaza HerenciaHerencia Obesidad (bajar de peso de golpe)Obesidad (bajar de peso de golpe) CirrosisCirrosis
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Clasificación de los Cálculos Biliares.-
MixtosMixtos ColesterolColesterol PigmentariosPigmentarios
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Fisiopatología de los Cálculos Biliares.-
Composicion de la bilisComposicion de la bilis
NucleacionNucleacion
Hipoquinesia vesicular Hipoquinesia vesicular (estasis)(estasis)
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Presentacion clinica :Presentacion clinica : Litiasis vesicularLitiasis vesicular
AsintomaticaAsintomatica ColicosColicos Colecistitis agudaColecistitis aguda Colecistitis subagudaColecistitis subaguda Colecistitis cronica *Colecistitis cronica * Colecistitis cronica reagudizadaColecistitis cronica reagudizada
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Diagnostico :
Clinico Clinico LaboratorioLaboratorio RxRx EcografiaEcografia Colecistografia oral (ya no se usa)Colecistografia oral (ya no se usa) Colescintigrafía
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Ileo biliarIleo biliar Sme de MirizziSme de Mirizzi
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Tratamiento :Tratamiento :
MedicoMedico Quirurgico :Quirurgico : cole lap. cio cole lap. cio
cole conv. ciocole conv. cio
colecistostomiacolecistostomia
Pacientes asintomaticos……….Pacientes asintomaticos……….
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Litiasis de via biliarLitiasis de via biliar
Secundaria (Secundaria (10 al 15 % del total cole lap. 3% 10 al 15 % del total cole lap. 3%
de insospechadasde insospechadas)) Primaria (Primaria (5 al 10 %5 al 10 % ) )
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Presentacion clinicaPresentacion clinicaLitiasis de vias biliaresLitiasis de vias biliares
AsintomaticoAsintomatico Sme. Coledociano Sme. Coledociano Colangitis agudaColangitis aguda Colangitis aguda supuradaColangitis aguda supurada Pancreatitis aguda litiasicaPancreatitis aguda litiasica
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DiagnosticoDiagnostico
ClinicoClinico LaboratorioLaboratorio EcografiaEcografia TACTAC C.P.R.E.C.P.R.E. ColangiorresonanciaColangiorresonancia Ecoendoscopia biliarEcoendoscopia biliar T.P.H.T.P.H.
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Tratamiento :Tratamiento :Lit. codedoc + vesicularLit. codedoc + vesicular : : cole lap. + instrumentacion lap.cole lap. + instrumentacion lap. C.P.R.E + cole lap.C.P.R.E + cole lap. Colec. Conv. + KehrColec. Conv. + Kehr Deriv. BiliodigestivaDeriv. Biliodigestiva
Lit.coledoc. Sin vesicLit.coledoc. Sin vesic : : C.P.R.EC.P.R.E Cir. convCir. conv
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Litiasis intrahepaticaLitiasis intrahepatica
AsiaAsia Entre 30 y 60 añosEntre 30 y 60 años Estasis + infeccionEstasis + infeccion Clinica : sme. ColedocianoClinica : sme. Coledociano Diagn. Diagn. Tratam.Tratam. El 5 % desarrollan hepatoca. El 5 % desarrollan hepatoca. El 50 % tratados . Lit recurrente.El 50 % tratados . Lit recurrente.
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