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2020, Number 2

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Rev Cubana Pediatr 2020; 92 (2)

Practical Guide of acute cholecystitis in the pediatric age

Caraballoso GVJ, Santana González-Chávez A, Abad CC, González LJC, Cabrera RJ, Barceló CD

Language: Spanish
References: 25
Page: 1-13
PDF size: 579.60 Kb.


ABSTRACT

Acute cholecystitis is the acute inflammation of the gall bladder caused by the obstruction of the bile output usually caused by gallstones (lytos). It has been estimated that the incidence of this entity in children is between 0.15 and 0.22 %, with a significant increase in puberty. Acute cholecystitis is the most common complication of cholelithiasis and it is present in the 6 to 22% of the symptomatic patients with an average onset between the seven to eleven years of follow-up. Due to the importance of clinical manifestations in the diagnostic and therapeutic behaviour, they are divided into grade I (mild), grade II (moderate), grade III (severe). The diagnosis is carried out taking into account the history of lithiasis, and persistent biliary colic, vomiting and fever are the most constant clinical elements. Abdominal ultrasound is the most widely used imaging study to corroborate the diagnosis. The most important pillars are the broad-spectrum antibiotic therapy, the treatment of pain and the accompanying symptoms as well as the surgical approach. This last can go from a cholecystectomy in severe cases or conventional video-assisted laparoscopic cholecystectomy depending on the institution's resources and the experience of the medical staff. Between the complications, we can find vesicular empyema, vesicular gangrene, vesicular perforation, vesicular plastron, subphrenic abscess, acute pancreatitis, ileus gallstone, external biliary fistula, internal biliary fistula, Mirizzi syndrome, and obstructive acute suppurative cholangitis.


REFERENCES

  1. Chan Nuñez C, Bandín Musa AR, Villalobos Blásquez I, Torres Machorro A. Guía de práctica clínica, diagnóstico y tratamiento de colecistitis y colelitiasis. Catálogo Maestro. México; Gobierno Mexicano; 2014 [acceso 22/08/2018]. Disponible en: http://www.cenetec.salud.gob.mx/descargas/gpc/CatalogoMaestro/237_IMSS_09_Colecistitis_Colelitiasis/EyR_IMSS_237_09.pdf&sa=U&ved=2ahUKEwjMiZOajePiAhWmslkKHVW4BdUQFjAAegQIAxAB&usg=AOvVaw0dScVDYjYQS30cKA0UkOaB

  2. Díaz Fernández C. Colelitiasis. Pediatr Integral 2015;XIX (3):214-23.

  3. Quirós Espigares N, Rubio Santiago J, Rodríguez Barrera S, Ortiz Tardío S. Colelitiasis infantil: aportación de 51 nuevos casos y revisión bibliográfica. Acta Pediatr Esp. 2014;72(6):e194-e201.

  4. Vialat Soto V, Olivera Panduro RCh, Vázquez Merayo E, López Díaz V de la C. Litiasis biliar en el niño, diez años de experiencia. Rev Cubana Pediatr. 2015;87(1):21-30

  5. Holcomb III GW, Walter SA. Gallbladder Disease and Hepatic Infections. In: Spitz L, Coran AG, Titelbaum DH, Tan HL, Pierro A, editors. Operative pediatric surgery. 7th ed. Boca Raton: CRC Press Tayler; Francis Group; 2013. p. 1341- 53.

  6. Zakko SF, Afdhal NH. Acute calculous cholecystitis: Clinical features and diagnosis. Official reprint from Up To Date. 2019 [acceso 22/10/2019]. Disponible en: www.uptodate.com

  7. Gonzálvez Bertot J, Paco Luna H, Cabrera Salazar J, Puente Fonseca C. Caracterización de pacientes operados mediante colecistectomía laparoscópica en un hospital pediátrico. Medisan 2015 [acceso 12/06/2019];19(4):468-75. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192015000400004&lng=es

  8. Yokoe M, Hata J, Takada T, Strasberg SM, Asbun HJ, Wakabayashi G, et al. Tokyo Guidelines 2018: antimicrobial therapy for acute cholangitis and cholecystitis. J Hepato-Biliary-Pancreatic Sci. 2017 [acceso 12/06/2019]:25. Disponible en: https://doi.org/10.1002/jhbp.518

  9. Yokoe M, Takada T, Strasberg SM, Solomkin JS, Mayumi T, Gomi H, et al. Tokyo Guidelines Revision Committee. TG13 diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci. 2013;20(1):35-46.

  10. Rebibo L, Sabbagh C, Mauvais F, Regimbeau J. Tratamiento quirúrgico de la colecistitis aguda litiásica. Técnicas quirúrgicas–Aparato digestivo. España. Elsevier Masson SAS. 2016;32(2):1-18.

  11. Blasco Alonso J, Santiago García-Caro E, Gil Gómez R, Jiménez Alcántara C, Sánchez Yáñez P, Milano Manso G. Colecistitis aguda alitiásica en pediatría. Una patología no tan rara. Rev Esp Enferm Dig Madrid. 2014;106(7):487-90.

  12. Costa Ribas C, Castiñeira Pérez C. Colecistitis aguda. España: Elsevier; 2017.

  13. Instituto de evaluación de tecnologías en salud e investigación. Guía de práctica clínica para el diagnóstico y manejo de la colelitiasis, colecistitis aguda y coledocolitiasis. Perú: EsSalud; 2018 [acceso 12/06/2019];11:1-65. Disponible en: www.essalud.gob.pe>ietsi>pdfs>guias

  14. Strasberg SM, Brunt LM. Rationale and Use of the Critical View of Safety in Laparoscopic Cholecystectomy. J Am Coll Surg. 2010;211(1):132-8.

  15. Strasberg SM, Hertl M, Soper NJ. An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am Coll Surg. 1995;180:101-25.

  16. Quevedo Guanche L. García Gutiérrez A. Manual de procedimientos de diagnóstico y tratamiento en cirugía. La Habana: Minsap; 2006 [acceso 12/06/2019]. Disponible en: https://articulos.sld.cu/cirured/archives/tag/normas-de-cirugia

  17. Solomkin JS, Mazuski JE, Bradley JS. Diagnosis and management of complicated intrabdominal infection in adults and children: guidelines by the Surgical Infection. Society Infectious Diseases Society of America. CID 2010;50(2):133-64.

  18. Vollmer C M, Zakko S F, Afdhal N H. Treatment of acute calculous cholecystitis. Official reprint from Up To Date. 2018 [acceso 22/10/2019]. Disponible en: www.uptodate.com

  19. Quevedo Guanche L, García Gutiérrez A. Complicaciones de la Colecistitis Aguda. Manual de procedimientos de diagnóstico y tratamiento en cirugía. La Habana: Minsap; 2006 [acceso 12/06/2019]. Disponible en: https://articulos.sld.cu/cirured/archives/tag/normas-de-cirugia

  20. Fernández R. Diagnóstico y manejo de la infección intraabdominal complicada en adultos y niños: Guías IDSA. Revelect Anestesiar. 2010;2 (4):3

  21. Flores Cortés M, Ramírez Duque N. Vía Clínica de Colecistitis Aguda. Sevilla: Consejería de Salud, Servicio Andaluz de Salud, Hospitales Universitarios Virgen Macarena y Virgen del Rocío; 2015.

  22. 22.Cárdenas Quirós MF. Colecistitis aguda alitiásica. Rev Méd Sinergia. 2018 [acceso 12/06/2019];3(6):3- 8. Disponible en: https://doi.org/10.31434/rms.v3i6.128

  23. Afdhal NH. A calculous cholecystitis: Clinical manifestation, diagnosis and management. Official reprint from Up To Date Dec 2017 [acceso 22/10/2019]. Disponible en: www.uptodate.com

  24. Park JS, Kim JH, Kim JK, Yoon DS. The role of abdominal drainage to prevent of intra-abdominal complications after laparoscopic cholecystectomy for acute cholecystitis: prospective randomized trial. Surg Endosc. 2015;29:453-7.

  25. Elías Pollina J, Delgado Alvira R, González Martínez-Pardo N, Ros Mar L, Calleja Aguayo E, Esteban Ibarz JA. ¿Hay que cambiar el planteamiento quirúrgico en las litiasis biliares? Cir Pediatr 2008;21:96-9.




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