Prevalencia y factores asociados a coledocolitiasis en el Hospital Vicente Corral Moscoso, Cuenca 2014

Abstract:

Introduction: Choledocholithiasis is the most frequent complication of cholelithiasis which is located on the second place of the acute abdominal pathology observed in the emergency services. Different series referred that approximately 15% to 30% of gallstones migrate into the common bile duct. Objective: Determine the prevalence of choledocholithiasis and associated factors in the patient received in the emergency room of the Hospital Vicente Corral Moscoso, Cuenca 2014. Material and methods: a cross-sectional descriptive study was conducted in patients treated in the emergency room at the Vicente Corral Moscoso Hospital. The study sample was 258 patients. Nutritional status (weight and height) was assessed, laboratory tests: hematological, biochemical, imaging and use of complementary methods such as ERCP, CRM or exploration of bile ducts. Results: The prevalence of choledocholithiasis in patients with biliary disease in the service of surgery and emergency of Vicente Corral Moscoso Hospital is 67.80 per cent IC95 %: 26 - 74 %. It is most common between 25 and 49 years with the 36.0 % IC95 %: 30 - 42% in women with the 74.9 % 95 %: 70 - 80 %. The main symptom observed in patients with choledocholithiasis was nausea 88.6 %, choluria 67.4 %, 66.9 % jaundice and moderate pain 40.6 %. All the patients underwent ultrasound. Endoscopic retrograde cholangiopancreatography was requested to the 96.6% of patients, the magnetic cholangioresonance to 48% and the exploration of bile ducts such as procedure during surgery in the 17.1 % of patients. The 27.4% of patients had a previous surgery. It was noted that there is statistically significant association with age OR 2.46 ; 95% CI 1.14 - 4.28 , p= 0.001 and the values of total bilirubin , alkaline phosphatase, gamma glutamyl transferase and diameter of the common bile duct. Conclusions: The prevalence of choledocholithiasis is high and is associated to age, total bilirubin , alkaline phosphatase, gamma glutamyl transferase and diameter of the common bile duct

Año de publicación:

2016

Keywords:

• COLEDOCOLITIASIS
• FACTORES ASOCIADOS
• Cirugia

Fuente:

rraae