Asymptomatic cholelithiasis: when make surgery?
Autor(a) principal: | |
---|---|
Data de Publicação: | 2008 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | HU Revista (Online) |
Texto Completo: | https://periodicos.ufjf.br/index.php/hurevista/article/view/69 |
Resumo: | The cholelithiasis can present itself in three ways: asymptomatic, symptomatic and complicated. The conduct in asymptomatic patients is often controversial. With the aim of identifying the conduct of gastroenterologists and surgeons facing the diagnosis of asymptomatic cholelithiasis and establish a consensus, sent a questionnaire with 21 questions to 23 gastroenterologists, 108 surgeons and 101 surgeons general of the digestive tract. Participants in the study agreed on the indication of cholecystectomy in the following questions: diagnostic ultrasound of cholelithiasis; gallstones below 0.5 cm, and above 2cm; gallbladder in porcelain; patients below 20 years; carriers of sickle cell anemia and diabetes and the concomitant laparotomy because no biliary, using the same incision. Only surgeons general and the digestive tract indicate cholecystectomy: in asymptomatic patients over 60 years, in morbidly obese, in the presence of two or more risk factors for cholelithiasis; abdominal surgery with the need to enlarge the incision; in patients with dyspeptics symptoms and normal endoscopy, refractory to clinical treatment or with atypical symptoms, in women with prospect of future pregnancies and as the wish of the patient. In asymptomatic patients over 70 years, only the surgeons of the digestive tract indicate cholecystectomy. Professionals agree to the non-cholecystectomy indication of the candidates for liver transplantation. We note, therefore, that there is agreement on the conduct of the 21 questions in 11 surveyed (52.3%), with divergence in the remaining items (47.7%). Thus, in agreement with the literature, it is not yet possible to establish a consensus for treatment of cholelithiasis asymptomatic. |
id |
UFJF-8_f76960421c0bee9e0f00a43fe6d6167f |
---|---|
oai_identifier_str |
oai:periodicos.ufjf.br:article/69 |
network_acronym_str |
UFJF-8 |
network_name_str |
HU Revista (Online) |
repository_id_str |
|
spelling |
Asymptomatic cholelithiasis: when make surgery?Colelitíase assintomática: quando operar?Colelitíase/cirurgiaTratamentoThe cholelithiasis can present itself in three ways: asymptomatic, symptomatic and complicated. The conduct in asymptomatic patients is often controversial. With the aim of identifying the conduct of gastroenterologists and surgeons facing the diagnosis of asymptomatic cholelithiasis and establish a consensus, sent a questionnaire with 21 questions to 23 gastroenterologists, 108 surgeons and 101 surgeons general of the digestive tract. Participants in the study agreed on the indication of cholecystectomy in the following questions: diagnostic ultrasound of cholelithiasis; gallstones below 0.5 cm, and above 2cm; gallbladder in porcelain; patients below 20 years; carriers of sickle cell anemia and diabetes and the concomitant laparotomy because no biliary, using the same incision. Only surgeons general and the digestive tract indicate cholecystectomy: in asymptomatic patients over 60 years, in morbidly obese, in the presence of two or more risk factors for cholelithiasis; abdominal surgery with the need to enlarge the incision; in patients with dyspeptics symptoms and normal endoscopy, refractory to clinical treatment or with atypical symptoms, in women with prospect of future pregnancies and as the wish of the patient. In asymptomatic patients over 70 years, only the surgeons of the digestive tract indicate cholecystectomy. Professionals agree to the non-cholecystectomy indication of the candidates for liver transplantation. We note, therefore, that there is agreement on the conduct of the 21 questions in 11 surveyed (52.3%), with divergence in the remaining items (47.7%). Thus, in agreement with the literature, it is not yet possible to establish a consensus for treatment of cholelithiasis asymptomatic.A colelitíase pode apresentar-se de três formas: assintomática, sintomática e complicada. A conduta nos pacientes assintomáticos é frequentemente controversa. Com o objetivo identificar as condutas de gastroenterologistas e cirurgiões frente ao diagnóstico de colelitíase assintomática e estabelecer um consenso, foi enviado um questionário com 21 quesitos a 23 gastroenterologistas, 108 cirurgiões gerais e 101 cirurgiões do aparelho digestivo. Os participantes do estudo concordaram quanto à indicação de colecistectomia nos seguintes quesitos: diagnóstico ultra-sonográfico de colelitíase; cálculos abaixo de 0,5cm, assim como acima de 2cm; vesícula em porcelana; pacientes abaixo de 20 anos; portadores de anemia falciforme e diabetes e concomitante à laparotomia por causa não biliar, utilizando a mesma incisão. Apenas cirurgiões gerais e do aparelho digestivo indicam colecistectomia: nos pacientes assintomáticos acima de 60 anos; na presença de obesidade mórbida, de dois ou mais fatores de risco para calculose; na cirurgia abdominal com necessidade de ampliar a incisão; nos pacientes com sintomas dispépticos e endoscopia normal, refratários ao tratamento clínico ou com sintomas atípicos; na mulher com perspectiva de futura gravidez e conforme o desejo do paciente. Em pacientes assintomáticos acima de 70 anos, apenas os cirurgiões do aparelho digestivo indicam colecistectomia. Os profissionais concordam com a não-indicação de colecistectomia nos candidatos a transplante hepático. Verificamos, portanto, que há concordância na conduta em 11 dos 21 quesitos pesquisados (52,3%), havendo divergência nos itens restantes (47,7%). Deste modo, em concordância com a literatura, ainda não ser possível estabelecer um protocolo de condutas frente à colelitíase assintomática que satisfaça a clínicos e cirurgiões.Editora UFJF2008-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtOrapplication/pdfhttps://periodicos.ufjf.br/index.php/hurevista/article/view/69HU Revista; v. 33 n. 3 (2007); 71-751982-80470103-3123reponame:HU Revista (Online)instname:Universidade Federal de Juiz de Fora (UFJF)instacron:UFJFporhttps://periodicos.ufjf.br/index.php/hurevista/article/view/69/46Nunes, Sergio IbañezPinto, Carolina de Mendonça BrandãoLima, Eduardo CardozoFerreira Fernandes, Carolaine BitencourtPereira, Geysler AurélioNeto, José Antônio Chehueninfo:eu-repo/semantics/openAccess2023-05-04T03:53:15Zoai:periodicos.ufjf.br:article/69Revistahttps://periodicos.ufjf.br/index.php/hurevistaPUBhttps://periodicos.ufjf.br/index.php/hurevista/oairevista.hurevista@ufjf.edu.br1982-80470103-3123opendoar:2023-05-04T03:53:15HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF)false |
dc.title.none.fl_str_mv |
Asymptomatic cholelithiasis: when make surgery? Colelitíase assintomática: quando operar? |
title |
Asymptomatic cholelithiasis: when make surgery? |
spellingShingle |
Asymptomatic cholelithiasis: when make surgery? Nunes, Sergio Ibañez Colelitíase/cirurgia Tratamento |
title_short |
Asymptomatic cholelithiasis: when make surgery? |
title_full |
Asymptomatic cholelithiasis: when make surgery? |
title_fullStr |
Asymptomatic cholelithiasis: when make surgery? |
title_full_unstemmed |
Asymptomatic cholelithiasis: when make surgery? |
title_sort |
Asymptomatic cholelithiasis: when make surgery? |
author |
Nunes, Sergio Ibañez |
author_facet |
Nunes, Sergio Ibañez Pinto, Carolina de Mendonça Brandão Lima, Eduardo Cardozo Ferreira Fernandes, Carolaine Bitencourt Pereira, Geysler Aurélio Neto, José Antônio Chehuen |
author_role |
author |
author2 |
Pinto, Carolina de Mendonça Brandão Lima, Eduardo Cardozo Ferreira Fernandes, Carolaine Bitencourt Pereira, Geysler Aurélio Neto, José Antônio Chehuen |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Nunes, Sergio Ibañez Pinto, Carolina de Mendonça Brandão Lima, Eduardo Cardozo Ferreira Fernandes, Carolaine Bitencourt Pereira, Geysler Aurélio Neto, José Antônio Chehuen |
dc.subject.por.fl_str_mv |
Colelitíase/cirurgia Tratamento |
topic |
Colelitíase/cirurgia Tratamento |
description |
The cholelithiasis can present itself in three ways: asymptomatic, symptomatic and complicated. The conduct in asymptomatic patients is often controversial. With the aim of identifying the conduct of gastroenterologists and surgeons facing the diagnosis of asymptomatic cholelithiasis and establish a consensus, sent a questionnaire with 21 questions to 23 gastroenterologists, 108 surgeons and 101 surgeons general of the digestive tract. Participants in the study agreed on the indication of cholecystectomy in the following questions: diagnostic ultrasound of cholelithiasis; gallstones below 0.5 cm, and above 2cm; gallbladder in porcelain; patients below 20 years; carriers of sickle cell anemia and diabetes and the concomitant laparotomy because no biliary, using the same incision. Only surgeons general and the digestive tract indicate cholecystectomy: in asymptomatic patients over 60 years, in morbidly obese, in the presence of two or more risk factors for cholelithiasis; abdominal surgery with the need to enlarge the incision; in patients with dyspeptics symptoms and normal endoscopy, refractory to clinical treatment or with atypical symptoms, in women with prospect of future pregnancies and as the wish of the patient. In asymptomatic patients over 70 years, only the surgeons of the digestive tract indicate cholecystectomy. Professionals agree to the non-cholecystectomy indication of the candidates for liver transplantation. We note, therefore, that there is agreement on the conduct of the 21 questions in 11 surveyed (52.3%), with divergence in the remaining items (47.7%). Thus, in agreement with the literature, it is not yet possible to establish a consensus for treatment of cholelithiasis asymptomatic. |
publishDate |
2008 |
dc.date.none.fl_str_mv |
2008-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion ArtOr |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.ufjf.br/index.php/hurevista/article/view/69 |
url |
https://periodicos.ufjf.br/index.php/hurevista/article/view/69 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.ufjf.br/index.php/hurevista/article/view/69/46 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora UFJF |
publisher.none.fl_str_mv |
Editora UFJF |
dc.source.none.fl_str_mv |
HU Revista; v. 33 n. 3 (2007); 71-75 1982-8047 0103-3123 reponame:HU Revista (Online) instname:Universidade Federal de Juiz de Fora (UFJF) instacron:UFJF |
instname_str |
Universidade Federal de Juiz de Fora (UFJF) |
instacron_str |
UFJF |
institution |
UFJF |
reponame_str |
HU Revista (Online) |
collection |
HU Revista (Online) |
repository.name.fl_str_mv |
HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF) |
repository.mail.fl_str_mv |
revista.hurevista@ufjf.edu.br |
_version_ |
1796798239355174912 |