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Pesquisa : C06.130.120.200 [Categoria DeCS]
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Id: biblio-1118243
Autor: Venegas, Josefa; Tapia, Alvaro; Salazar, Carolina; Valdivia, Alejandra; Ortiz, Victor.
Título: Coledocolitiasis múltiples y colangitis en paciente con quiste de colédoco, a propósito de un caso / Multiple choledocholithiasis and cholangitis in a patient with choledochal cyst, a case report
Fonte: Rev. ANACEM (Impresa);9(2):87-92, 2015. ilus.
Idioma: es.
Resumo: Introducción: El quiste de colédoco (QC) es una patología infrecuente, caracterizada por una dilatación de vía biliar intra o extrahepática. Constituye una lesión congénita, representado 1% de las lesiones biliares benignas. Tiene una incidencia de 1 en 100.000 a 150.000 habitantes. Es más frecuente en mujeres, y su etiología es desconocida. En adultos los síntomas son inespecíficos; predominando dolor abdominal e ictericia. Presentación del caso: Mujer de 61 años con cólico abdominal en hipocondrio derecho de tres días, vómitos e ictericia. Al ingreso hospitalario presentaba leucocitosis, hiperbilirrubinemia, aumento de fosfatasa alcalina, transaminasas y amilasa. Se plantearon los diagnósticos de ictericia obstructiva, pancreatitis y quiste hidatídico complicado, por lo que se realiza tomografía computada (TC) de abdomen evidenciando dilatación sacular intra y extrahepática, compatible con QC tipo IV-a. Se realizó colecistectomía y coledocostomía con sonda T de urgencia por evolución a colangitis con resultados favorables. Discusión: Los QC son una causa rara de ictericia obstructiva. En Chile existen escasos datos estadísticos al respecto. Se manifiesta con una sintomatología inespecífica, sobretodo en adultos. El diagnóstico se realiza con hallazgos de laboratorio concordantes con ictericia colestásica, donde los estudios imagenológicos como ultrasonido y TC tienen un rol importante, pese a que en algunas ocasiones pueden pasar inadvertido. Es primordial un alto índice de sospecha para el diagnóstico y un tratamiento oportuno debido a su importante riesgo de progresión a colangiocarcinoma

Introduction: Choledochal cysts (CCs) is a rare disease characterized by dilatation of the intrahepatic or extrahepatic bile duct, which is about 1% of all benign biliary lesions. Its incidence is 1:100,000 to 150,000 habitants. It is more common in females, and its etiology is unknown. In adults the symptoms are nonspecific, predominantly abdominal pain and jaundice. Case Report: 61 year old female patient with three days of severe abdominal colic in the right upper quadrant, whit both vomiting and jaundice. On admission, she presents leukocytosis, hyperbilirubinemia, and increased levels of alkaline phosphatase, transaminases and amylase. Diagnosis of obstructive jaundice, pancreatitis and complicated hydatid cyst arising. The abdominal CT Scan reveals intra and extrahepatic saccular dilatations, compatible with a type IV-a CCs. Both cholecystectomy and T-tube choledochotomy were done by evolution to cholangitis with favorable results and satisfactory postoperative. Discussion: CCs is a rare cause of obstructive jaundice, and in this regard, there are few data described in Chile, Its diagnosis requires a high index of suspicion because of its nonspecific symptoms found mostly in adults. Despite this, the diagnosis is determined with laboratory findings consistent with cholestatic jaundice and support diagnostic imaging such as ultrasound, CT Scan, among others. Although the imaging findings, it may not be detected. A correct diagnosis and appropriate treatment is essential because of its high risk of progression to cholangiocarcinoma. Currently the patient is waiting for resection of extrahepatic bile duct and Roux-en-Y hepatic jejunostomy which is the optimal treatment.
Descritores: Cisto do Colédoco/complicações
Cisto do Colédoco/diagnóstico por imagem
Icterícia Obstrutiva/etiologia
-Sistema Biliar
Colangite/cirurgia
Colangite/diagnóstico
Limites: Humanos
Feminino
Pessoa de Meia-Idade
Tipo de Publ: Relatos de Casos
Responsável: CL126.2 - Biblioteca Médica Dr. Profesor Hernán Alessandri R.


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Id: lil-746510
Autor: Qu, Xiao-Yu; Hu, Ting-Ting; Zhou, Wei.
Título: A meta-analysis of efficacy and safety of doripenem for treating bacterial infections
Fonte: Braz. j. infect. dis;19(2):156-162, Mar-Apr/2015. tab, graf.
Idioma: en.
Resumo: Objective: The aim of this article is to compare the efficacy and safety of doripenem for bacterial infections. Methods: We included six randomized clinical trials identified from PubMed and Embase up to July 31, 2014. The included trials compared efficacy and safety of doripenem for complicated intra-abdominal infections, complicated urinary tract infection, nosocomial pneumonia, and acute biliary tract infection. The meta-analysis was carried on by the statistical software of Review Manager, version 5.2. Results: Compared with empirical antimicrobial agents on overall treatment efficacy, doripenem was associated with similar clinical and microbiological treatment success rates (for the clinical evaluable population, odds ratio [OR] = 1.26, 95% confidence interval [CI] 0.93-1.69, p = 0.13; for clinical modified intent-to-treatment population, OR = 0.88, 95% CI 0.55-1.41, p = 0.60; for microbiology evaluable population, OR = 1.16, 95% CI 0.90-1.50, p = 0.26; for microbiological modified intent-to-treatment (m-mITT), OR = 0.98, 95% CI 0.81-1.20, p = 0.87). We compared incidence of adverse events and all-cause mortality to analyze treatment safety. The outcomes suggested that doripenem was similar to comparators in terms of incidence of adverse events and all-cause mortality on modified intent-to-treatment population (for incidence of AEs, OR = 1.10, 95% CI 0.90-1.35, p = 0.33; for all-cause mortality, OR = 1.08, 95% CI 0.77-1.51, p = 0.67). In nosocomial pneumonia and ventilator-associated pneumonia treatment, doripenem was not inferior to other antibacterial agents in terms of efficacy and safety. Conclusion: From this meta-analysis, we can conclude that doripenem is as valuable and well-tolerated than empirical antimicrobial agents for complicated intra-abdominal infections, complicated urinary tract infection, acute biliary tract infection and nosocomial pneumonia treatment. .
Descritores: Antibacterianos/uso terapêutico
Infecções Bacterianas/tratamento farmacológico
Carbapenêmicos/uso terapêutico
Infecção Hospitalar/tratamento farmacológico
-Doença Aguda
Antibacterianos/efeitos adversos
Carbapenêmicos/efeitos adversos
Colangite/tratamento farmacológico
Pneumonia Bacteriana/tratamento farmacológico
Pneumonia Associada à Ventilação Mecânica/tratamento farmacológico
Ensaios Clínicos Controlados Aleatórios como Assunto
Infecções Urinárias/tratamento farmacológico
Limites: Humanos
Tipo de Publ: Estudo Comparativo
Metanálise
Responsável: BR1.1 - BIREME


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Id: biblio-1171331
Autor: Sivori, Jorge A; Mazza, Oscar; Gadano, Adrián.
Título: Vías biliares, vesícula biliar e hígado / Biliary tract, gall bladder and liver
Fonte: Rev. argent. cir;(n.esp):109-112, 2000.
Idioma: es.
Conferência: Apresentado em: Congreso Argentino de Cirugía, 71, Buenos Aires, 2000.
Descritores: Colelitíase/fisiopatologia
Colestase/fisiopatologia
Endotoxemia/fisiopatologia
Sistema Biliar/fisiopatologia
Vesícula Biliar/fisiopatologia
-Bile/fisiologia
Citocinas
Colangite/etiologia
Colelitíase/classificação
Colelitíase/química
Colestase/complicações
Colestase/patologia
Cálculos Biliares
Endotoxemia/complicações
Fator de Necrose Tumoral alfa
INTERLEUCINA-ABDOMEN, ACUTE
Rim/fisiopatologia
Sistema Biliar/anatomia & histologia
Sistema Biliar/imunologia
Translocação Bacteriana/fisiologia
Vesícula Biliar/anatomia & histologia
Vesícula Biliar/imunologia
Limites: Humanos
Responsável: AR144.1 - CIBCHACO - Centro de Información Biomedica del Chaco


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Id: biblio-1157362
Autor: Zervos Xaralambos; Molina Enrique; Larsen Marcelo Fabián.
Título: Colangitis secundaria a espirales metálicos emigrados al conducto biliar / [Cholangitis secondary to migrated metallic coils in the common bile duct].
Fonte: Acta gastroenterol. latinoam;43(2):146-8, 2013 Jun.
Idioma: es.
Resumo: Biliary obstructions are infrequently caused by foreign bodies. We present an unusual case of angiographically placed metallic coils into the intrahepatic arteries to provide hemostasis, that subsequently eroded into the common bile duct leading to obstructive jaundice and cholangitis a year later. In patients with history of invasive procedures, the possibility of foreign body migration into the common bile duct should always be considered in the differential diagnosis of obstructive jaundice and cholangitis.
Descritores: Colangite/etiologia
Colestase/etiologia
Migração de Corpo Estranho/complicações
-Artéria Hepática
Doença Aguda
Embolização Terapêutica/efeitos adversos
Embolização Terapêutica/instrumentação
Humanos
Masculino
Pessoa de Meia-Idade
Tipo de Publ: Relatos de Casos
Resumo em Inglês
Artigo de Revista
Responsável: AR5.1 - Centro de Gestión del Conocimiento y las Comunicaciónes


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Id: biblio-887256
Autor: Manterola, Carlos; Otzen, Tamara.
Título: Cholangiohydatidosis: an Infrequent Cause of Obstructive Jaundice and Acute Cholangitis
Fonte: Ann. hepatol;16(3):436-441, May.-Jun. 2017. tab, graf.
Idioma: en.
Resumo: ABSTRACT Background. One of the evolutionary complications of hepatic echinococcosis (HE) is cholangiohydatidosis, a rare cause of obstructive jaundice and cholangitis. The aim of this study was to describe the results of surgical treatment on a group of patients with cholangiohydatidosis and secondary cholangitis in terms of post-operative morbidity (POM). Material and method. Case series of patients operated on for cholangiohydatidosis and cholangitis in the Department at Surgery of the Universidad de La Frontera and the Clínica Mayor in Temuco, Chile between 2004 and 2014. The minimum follow-up time was six months. The principal outcome variable was the development of POM. Other variables of interest were age, sex, cyst diameter, hematocrit, leukocytes, total bilirubin, alkaline phosphatase and transaminases, type of surgery, existence of concomitant evolutionary complications in the cyst, length of hospital stay, need for surgical re-intervention and mortality. Descriptive statistics were calculated. Results. A total of 20 patients were studied characterized by a median age of 53 years, 50.0% female and 20.0% having two or more cysts with a mean diameter of 13.3 ± 6.3 cm. A median hospital stay of six days and follow-up of 34 months was recorded. POM was 30.0%, re-intervention rate was 10.0% and mortality rate was 5.0%. Conclusion. Cholangiohydatidosis is a rare cause of obstructive jaundice and cholangitis associated with significant rates of POM and mortality.(AU)
Descritores: Colangite/etiologia
Adenoma de Ducto Biliar/patologia
Icterícia Obstrutiva/etiologia
-Cuidados Pós-Operatórios/reabilitação
Procedimentos Cirúrgicos Operatórios/métodos
Limites: Humanos
Tipo de Publ: Relatos de Casos
Responsável: BR1.1 - BIREME


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Id: biblio-1122530
Autor: Racioppi, Fernanda A; Cestari, Matías; Puccar, Pablo; El Kik, Soraya; Ferrari, Mariela; Lipsich, José; Garriga, Matías; Sarkis, Claudia; Paulin, Patricia.
Título: Ascaridiosis en la vía biliar intrahepática: a propósito de un caso pediátrico / Ascariasis in the intrahepatic biliary duct: about a case in pediatrics
Fonte: Arch. argent. pediatr;118(5):e476-e479, oct 2020. tab, ilus.
Idioma: es.
Resumo: El 25 % de la población mundial se encuentra infectada por Ascaris lumbricoides. La ascaridiosis hepatobiliar ocurre en zonas con alta endemicidad y gran carga parasitaria, y genera desde intensa inflamación hasta fibrosis. Se presenta a un paciente de 2 años, que consultó por distensión abdominal y tos de 1 mes de evolución asociada a fiebre en las últimas 72 h. Se realizó una ecografía abdominal que evidenció áscaris en la vía biliar, en el estómago y en el intestino delgado, y una radiografía de tórax con infiltrado inflamatorio intersticial, asociado a hiperleucocitosis con hipereosinofilia y gamma-glutamiltranspeptidasa elevada. Se administró un tratamiento antibiótico, antihelmíntico, sin lograr la eliminación de los parásitos de la vía biliar, por lo que se requirió su extracción mediante colangiografía percutánea

Twenty five percent of the world population is affected by Ascaris lumbricoides. Hepatobiliary ascariasis occurs in areas with high endemicity and great amount of parasitic load, generating intense inflammation to fibrosis. We report a two-year-old patient that consults about abdominal distension and cough of one month of evolution associated with 72 hours of fever. Abdominal ultrasound is performed, which shows bile duct, stomach, small intestine with ascaris and chest x-ray with interstitial inflammatory infiltrate, associated with hyperleukocytosis with hypereosinophilia and elevated gamma-glutamyl transpeptidase. Antibiotic, anthelminthic treatment is administered, without achieving the elimination of the bile duct parasites, requiring their removal by percutaneous cholangiography.
Descritores: Ascaríase/diagnóstico por imagem
Ductos Biliares
-Doenças Parasitárias
Ascaríase/terapia
Colangiografia
Colangite
Limites: Humanos
Pré-Escolar
Tipo de Publ: Relatos de Casos
Responsável: AR94.1 - Centro de Información Pediatrica


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Id: biblio-1095110
Autor: Manterola, Carlos.
Título: SRIS y SDOM constructos asociados a sepsis / SRIS and SDOM constructs associated with sepsis
Fonte: Int. j. med. surg. sci. (Print);3(4):997-1002, dic. 2016. ilus.
Idioma: es.
Resumo: La sepsis es un síndrome de respuesta inflamatoria sistémica (SRIS) que se activa por infección. Por su parte, el síndrome de disfunción orgánica múltiple (SDOM) es el fallo de la función de órganos y sistemas críticos en pacientes que han desarrollado una SRIS. Debido a que SRIS y SDOM son consecuencias de una excesiva activación inflamatoria. El objetivo de este artículo es ofrecer una revisión sobre algunos aspectos fisiopatológicos del constructo SRIS / SDOM de origen infeccioso, utilizando a la colangitis aguda como un ejemplo de esta cadena de eventos.

Sepsis is a systemic inflammatory response syndrome (SIRS) that is triggered by infection. On the other hand, multiple organ dysfunction syndrome (MODS) is the failure of critical organ function in patients suffering from SIRS.Because SIRS and SDOM are consequences of excessive inflammatory activation. The aim of this article is to provide a review of some pathophysiological aspects of the SRIS / SDOM construct of infectious origin, using the acute cholangitis as an example of this chain of events.
Descritores: Colangite/fisiopatologia
Síndrome de Resposta Inflamatória Sistêmica/fisiopatologia
Sepse/fisiopatologia
Insuficiência de Múltiplos Órgãos/fisiopatologia
Limites: Humanos
Tipo de Publ: Revisão
Responsável: CL61.1 - Biblioteca Central Campus Sur


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Id: lil-790235
Autor: Guerra Montero, Luis; Ortega Alvarez, Félix; Marquez Teves, Maguin; Asato Higa, Carmen; Sumire Umeres, Julia.
Título: Síndrome de superposición: hepatitis autoinmune y colangitis autoinmune / Syndrome overlap: autoimmune hepatitis and autoimmune cholangitis
Fonte: Rev. gastroenterol. Perú;36(1):77-80, ene.-mar.2016. ilus, tab.
Idioma: es.
Resumo: La hepatitis autoinmune, cirrosis biliar primaria, colangitis esclerosante primaria y colangitis autoinmune son hepatopatías crónicas de origen autoinmune, habitualmente se presentan por separado, los cuadros donde se observa características de dos de las mencionadas hepatopatías se designan comúnmente como síndromes de superposición (SS). Aunque no existe consenso sobre criterios específicos para el diagnóstico de SS la identificación de esta asociación es importante para iniciar un tratamiento adecuado y así evitar su evolución hacia la cirrosis o en todo caso las complicaciones de la cirrosis y muerte. Presentamos el caso de una mujer de 22 años cirrótica que debuto son síndrome ascítico edematosa, intensa astenia e ictérica que cumple los criterios diagnósticos del SS y que inicialmente presentó alguna respuesta al tratamiento con ácido ursodexosicólico y corticoides orales, pero que finalmente terminó realizándose un trasplante hepático ortotópico...

Autoimmune hepatitis, primary biliary cirrhosis, primary sclerosing cholangitis and autoimmune cholangitis are chronic autoimmune liver disease, usually present separate, the cases where characteristics of two of the above is observed liver disease is commonly referred to as Overlap Syndromes (OS). Although there is no consensus on specific criteria for the diagnosis of OS identification of this association is important for initiating appropriate treatment and prevent its progression to cirrhosis or at least the complications of cirrhosis and death. We report the case of a woman aged 22 cirrhotic which debuted are edematous ascites, severe asthenia and jaundice compliant diagnostics SS criteria and initially present any response to treatment with ursodeoxycholic acid and oral corticosteroids, but ultimately finished performing a transplant orthotopic liver...
Descritores: Colangite
Hepatite Autoimune
Hepatopatias
Limites: Humanos
Tipo de Publ: Relatos de Casos
Responsável: PE1.1 - Oficina Universitária de Biblioteca


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Id: lil-490254
Autor: Yriberry Ureña, Simón Enrique; Monge Zapata, Víctor.
Título: Manejo de stent metálico biliar obstruido en cáncer de páncreas: stent dentro de stent. Reporte de caso y revisión de la literatura / Management of obstructed metallic biliary stent in pancreatic cancer: stent within a stent. Case report and review of the literature
Fonte: Rev. gastroenterol. Perú;27(3):303-306, jul.-sept.2007. ilus.
Idioma: es.
Resumo: El cáncer de páncreas que produce ictericia obstructiva puede manejarse de manera temporal o definitiva si es inoperable con stents colocados endoscópicamente mediante colangio pancreatografía retógrada endoscópica o CPRE . Estos pueden ser plásticosteflonados de relativa corta duración (2 meses promedio) o definitivos metálicos. En el caso de los stents metálicos, los mismos son de malla metálica no cubierta y que pueden obstruirse por crecimiento de la neoplasia e invasión al lumen. Presentamos el caso de un paciente con stent metálico que cursa con colangitis por crecimiento tumoral. Se realiza un procedimiento de salvataje.

Pancreatic cancer producing obstructive jaundice can be handled temporarily orpermanently if it is inoperable with stents placed endoscopically by means of an endoscopic retrograde cholangio-pancreatography, or ERCP. These can be made of teflon plastic of relatively short duration (average 2 months) or permanent metallic ones. The metallicstents are made of non-covered metallic mesh that can be obstructed by the growth of the neoplasia and invasion of the lumen. We present the case of a patient with a metallic stentsuffering from cholangitis due to tumoral growth. A salvaging procedure was performed.
Descritores: Colangite
Icterícia Obstrutiva/terapia
Neoplasias Pancreáticas/terapia
Colangiopancreatografia Retrógrada Endoscópica
Limites: Humanos
Masculino
Pessoa de Meia-Idade
Tipo de Publ: Relatos de Casos
Revisão
Responsável: PE1.1 - Oficina Universitária de Biblioteca


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Id: lil-533755
Autor: Vargas Cárdenas, Gloria.
Título: Colangitis / Cholangitis
Fonte: Rev. gastroenterol. Perú;26(Supl):160-173, 2006. tab.
Idioma: es.
Descritores: Colangite/diagnóstico
Colangite/microbiologia
Colangite/terapia
Endoscopia Gastrointestinal
Limites: Humanos
Masculino
Feminino
Responsável: PE1.1 - Oficina Universitária de Biblioteca



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