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Showing posts with label Cholelithiasis. Show all posts
Showing posts with label Cholelithiasis. Show all posts

Cholelithiasis Diagnosis and Treatment

Epidemiology

The gallbladder lithiasis is a quite entity, over 10% of the adult population .

Etiopathogenesis of gallstones

The etiologic factors:
  • genetic predisposition
  • female sex (women/men ration 2-3/1)
  • obesity
  • age
  • hypoproteinemia  
  • the number of birth
  • diabetes mellitus
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Cholelithiasis diagnosis

The clinical diagnosis can be shown when billiary colic or dyspepsia suggests that very often involvementbut billiary gallstones is totally or partially symptoms.

Ultrasonographical paraclinical diagnosis: gallstones appear in a photo hyperreflectogenic and launch the "acoustic shadow".

Symptomatic cholelithiasis, which arises billiary colic (colic billiary is hard or violent pain is part of epigastrum or right upper quadrant of the abdomen, sometimes radiating subscapularis usually continue for more than half an hour). Nausea or vomiting, which appear without colic, which do not cause colic billiary.

The differential diagnosis
  • renal colic
  • chronic pancreatitis pain
  • gallbladder polyp
  • gallbladder neoplasm
  • billiary sludge
  • ulcerous pain

Gallstones, Choleliathesis, Diagnosis to treatment VIDEO

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Cholelithiasis treatment


Symptomatic gallstones (cholelithiasis) will be discussed at this traetmen is surgical and, more rarely shown by non-surgical techniques.

Medical Treatment of cholelithiasis

  • Ursodeoxycholic acid (10 mg / kg / day)
  • Ursofalk or its combination with chenodeoxycholic acid (10-15 mg / kg / day)
  • Litofalk is 3-12 months until complete dissolution calculations

Lithotripsy is the fragmentation of Extracoporeal cholesterol stones by shock waves Extracoporeal, estimates that one-way or less, preferably less than 15 mm. Lithotripsy resulting fragments were resolved by the administration of bile acids (ursodeoxycholic acid) until the complete disappearance of all stone fragments into the bladder.

Quick Gallstones Treatment Tips

 

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