2000, Número 4
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Rev Fac Med UNAM 2000; 43 (4)
Tratamiento no quirúrgico de la litiasis vesicular
Farca SS
Idioma: Español
Referencias bibliográficas: 20
Paginas: 140-142
Archivo PDF: 37.51 Kb.
FRAGMENTO
El desarrollo de un tratamiento médico eficaz para la disolución farmacológica de cálculos de colesterol en la vesícula no ha sido posible aún pero la investigación de la fisiopatología ha ayudado a enfocar mejor la cuestión, en especial el conocimiento de los factores determinantes de la solubilidad del colesterol en la bilis. Como el colesterol biliar puede precipitarse sólo cuando existe en exceso, en relación con las proporciones de otros lípidos biliares (ácidos biliares y lecitina), parecería lógico que si se enriquece la bilis con ácidos biliares se incrementaría la solubilización micelar del colesterol. Pero también se infiere que haya un mecanismo de inhibición de la síntesis de colesterol.
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