| Journal: | Revista do Colegio Brasileiro de Cirurgioes |
| Database: | PERIÓDICA |
| System number: | 000134489 |
| ISSN: | 0100-6991 |
| Authors: | Fontes, Paulo Roberto Ott1 Nectoux, Mauro Eilers, Rene Jacobsen |
| Institutions: | 1Fundacao Faculdade Federal de Ciencias Medicas de Porto Alegre, Porto Alegre, Rio Grande do Sul. Brasil 2Santa Casa de Porto Alegre, Porto Alegre, Rio Grande do Sul. Brasil |
| Year: | 1998 |
| Season: | Mar-Abr |
| Volumen: | 25 |
| Number: | 2 |
| Pages: | 129-133 |
| Country: | Brasil |
| Language: | Portugués |
| Document type: | Artículo |
| Approach: | Descriptivo |
| English abstract | The cholelithiasis and hepatic cirrhosis are frequent in the population. This association is often observed. Its important to known this situation because the evolution of cirrhosis may be complicated by cholelithiasis and, on the other hand, the treatment of symptomatic cholelithiasis may be difficult in cirrhotic patients. In the compensated disease (Child A and B), cholecystectomy is the treatment of choice. In patients Child C, the biliary surgery has a high morbi-mortality rate and the initial management must be clinical observation. In these cases, the biliary symptoms must be relieved and the surgery delayed, if possible, until the improvement of hepatic function. Jaundiced patients must be carefully evaluated in the preoperative period, specially because choledocholithiasis is frequently absent and the jaundice is caused by hepatic failure. In Child C patients, if surgery is really necessary, cholecystostomy or partial cholecystectomy by Pribram technique can be considerated. The authors reviewed the clinical and therapeutic aspects of this association |
| Portuguese abstract | Considerando que são duas doenças freqüentes na população, a associação entre cirrose hepática e colelitíase também é um achado comum. É importante o conhecimento desta situação porque a evolução clínica da cirrose pode ser complicada pela presença de colelitíase e, ao contrário, uma colelitíase sintomática pode ser de difícil tratamento nos pacientes cirróticos. Os autores fazem uma revisão da literatura enfocando os aspectos clínicos e terapêuticos desta associação |
| Disciplines: | Medicina |
| Keyword: | Diagnóstico, Gastroenterología, Colelitiasis, Cirrosis, Hígado |
| Keyword: | Medicine, Diagnosis, Gastroenterology, Cholelithiasis, Cirrhosis, Liver |
| Full text: | Texto completo (Ver PDF) |
