Manejo de coledocolitiasis mediante la colangiopancreatografía retrograda endoscópica (CPRE) en pacientes geriátricos: a propósito de un caso

Abstract

Choledocholithiasis is considered the main cause of bile duct obstruction, it occurs in 5 to 10% of clinical patients with symptomatic cholelithiasis and in up to 18 to 33% of clinical patients with biliary pancreatitis. It is a frequent pathology that the general surgeon is faced with, although in the medical literature there are different tools for its diagnostic approach depending on whether the patient has a high or low probability of having it from the result of paraclinical studies (Hepatic profile and hepatobiliary ultrasound). These scales were developed to be applied in patients with or without gallbladder in situ, for an adequate diagnosis and therapeutic management. There are studies that have shown that the paraclinical laboratory and imaging results may have variations, which is why the feasibility of using the ASGE scale as predictors of choledocholithiasis in these patients has been proposed. Using this scale, it would help us to better determine the study of these cases, saving Hospital resources, by defining which patients benefit from extension studies such as cholangioresonance or ERCP, taking into account the possible complications associated with this procedure.