Vesicula Biliar tratamiento en cdmx México Col del valle

Specialty

Gallbladder Diseases, treatment in CDMX, Mexico Col del Valle

Doctor:

Octavio Rojas Diaz

Specialty

Gastrosurgeon / Gallbladder Diseases

Address

Av. Coyoacan 715

Cp 03100 Col Del Valle CDMX

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Diseases of the Gallbladder and Bile Ducts

The gallbladder is a vital organ found just below the liver. Bile, a solution produced by the liver and transported through the common bile duct, travels through the gallbladder to finally reach the small intestine, where it aids in the digestion and absorption of fats and cholesterol.

After each meal, the bile is emptied by hormonal stimuli and used by the body. However, between meals, bile remains stored in the gallbladder.

In Mexico, most gallstones are due to the imbalance between cholesterol and other bile salts, leading to precipitation and crystallization of cholesterol. Other causes include abnormal gallbladder motility, increased bile calcium, impaired gallbladder absorption, and, rarely, infections.

Approximately 10% of the population suffers from gallstones, and some 800,000 new cases are diagnosed each year. The prevalence of the disease increases with age, and women are more likely to develop it than men.

Most patients with gallstones have no symptoms and are called asymptomatic stones. Early surgery is recommended in these patients to prevent possible complications. However, many patients experience symptoms such as upper abdominal pain, gas, and poor digestion, which may improve after gallbladder removal.

Patients presenting with these symptoms are almost always recommended for an ultrasound, which is the best way to diagnose gallstones.

Symptoms

Gallbladder problems typically manifest in three distinct categories:

Dyspepsia: Patients experience digestive disorders such as abdominal bloating, a feeling of heaviness, gas, belching, and intolerance to certain foods.

Pain: Biliary colic is pain in the upper right part of the abdomen often accompanied by nausea and vomiting, usually after meals, caused by stones traveling from the gallbladder into the common bile duct and intestine. Acute cholecystitis is an acute infection of the gallbladder resulting from obstruction of the cystic duct by a stone, causing progressive abdominal pain associated with fever.

Jaundice: Stones that get stuck in the common bile duct, also known as the common bile duct, can cause severe abdominal pain and obstruction in bile flow, resulting in the release of bile pigments into the bloodstream and the development of jaundice. a yellow pigmentation of the eyes and skin. This is the most common reason for pancreatitis due to obstruction of the duct by a gall stone.

Once the stones have been diagnosed, cholecystectomy, that is, the removal of the gallbladder, is the treatment of choice for this disease. Cholecystectomy is the most common surgical intervention worldwide, and is currently performed by laparoscopic surgery.

Four small incisions are made in the abdomen, and the gallbladder is removed with special instruments while looking at it with a camera inserted through one of the incisions. Currently, most cases are treated with minimally invasive surgery, both in elective and emergency situations. The patient is admitted to the hospital the day of surgery and can return home the same day or the next day.

The advantages of this method are minimal discomfort, rapid recovery, fewer hospital days, fewer pulmonary or surgical wound complications, and excellent cosmetic results.

During the procedure, the common bile duct is usually evaluated with an injection of contrast material to look for stones that have become trapped in the bile duct. From 8 to 15% of cases present a stone in the common duct.

If these are large, most surgeons convert the surgery to an open operation to remove the stone, although we explore the bile duct laparoscopically. Other surgeons perform a second procedure to remove the stone through the intestine.

Know the

Published results:

CASES OF A SURGICAL GROUP IN MEXICO INTERNATIONAL MEDICAL RESEARCH 1994 21:4:171-178
POSTOPERTORY CARE IN LAPAROSCOPIC SURGERY FOR ABDOMINAL EMERGENCIES. POSOTPERTORY IN SURGICAL LAPAROSCOPY. IN BALLESTA- LOPEZ SPAIN MEDICAL VIDEO BARCELONA SPAIN 1996
TREATMENT OF CHOLEDOCOLITIASIS Laparoscopic Surgery, SECOND EDITION. INTER-AMERICAN. McGRAW-HILL 1997 P:159-166
LAPAROSCOPY AS A DIAGNOSTIC AND THERAPEUTIC METHOD IN PERITONITIS
LAPAROSCOPIC SURGERY. INTER-AMERICAN. McGRAW-HILL 1994 P:181-83
INTRA-ABDOMINAL SEPSIS. Ibero-Latin American Review of Intensive Care 1998 7(4)129-32
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT GAS. MEDICAL ANNALS OF THE AMERICAN BRITISH COWDRAY 1998;45-47
LAPAROSCOPIC SURGERY IS A SAFE ALTERNATIVE IN MANAGEMENT OF CHOLEDOCOLITHIASIS. INTERNATIONAL JOURNAL OF SURGICAL SCIENCES 1994 1:12:60-66.
USEFULNESS OF LAPAROSCOPY IN SUSPECTED ACUTE ABDOMEN: INITIAL REPORT. IBERO-LATIN AMERICAN JOURNAL OF INTENSIVE CARE 1996 V 3:126--30
THE EFFICACY OF LAPAROSCOPY IN DIAGNOSIS AND TREATMENT OF PERITONITIS. EXPERIENCE IN 107 CASES IN MEXICO CITY., SURG. ENDOC 1997 11:366-370
LAPAROSCOPIC SURGERY WITHOUT GAS. IBERO-LATIN AMERICAN JOURNAL OF INTENSIVE CARE 1997 3:74-76
CHOLEDOCHOSCOPY EXPERIENCE IN 42 CASES. MEDICAL ANNALS OF THE AMERICAN BRITISH COWDRAY 1997 23:3:96-98