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inverted question markQue tan correcta es la colecistectomia pospuesta durante el proceso pandemico de COVID-19? El ileo biliar ya no es un mito #MMPMID34037609
Said-Degerli M; Hogir A; Kandaz OF; Husemoglu K; Karagoz O; Altundal YE; Yildiz T
Cir Cir 2021[]; 89 (3): 390-393 PMID34037609show ga
Posponer cirugias electivas durante el proceso pandemico de Covid-19 aumento el riesgo de complicaciones graves de enfermedades benignas. El ileo biliar es una de las raras complicaciones de la colelitiasis (0,3-0,5%). Los episodios recurrentes de colecistitis aguda estan involucrados en la fisiopatologia. La demostracion de la triada de Rigler en tomografia computarizada es diagnostica. Para reducir la morbilidad se recomienda la cirugia dos etapas: extirpar el calculo por enterotomia en la primera operacion, cirugia biliar en la segunda operacion. El ileo biliar debe estar en el diagnostico diferencial de las obstrucciones intestinales mecanicas, especialmente en pacientes con antecedentes de ataques de colecistitis durante el proceso pandemico de Covid-19 porque las cirugias electivas se detuvieron. Postponing elective surgeries during the coronavirus disease-19 (COVID-19) pandemic process increased the risk of severe complications of benign diseases. Gallstone ileus is one of the rare complications of cholelithiasis (0.3-0.5%). Recurrent episodes of acute cholecystitis are involved in pathophysiology. Demonstration of Rigler's triad on computed tomography is diagnostic. To reduce morbidity stepped surgery is recommended: remove the stone by enterotomy at the first operation and biliary surgery at the second operation. Gallstone ileus should be in the differential diagnosis of mechanical intestinal obstructions, especially in patients with a history of cholecystitis attacks during the COVID-19 pandemic process because elective surgeries stopped.