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 DEFINITION
The chronic colecistitis is the inflammation prolonged in the time of the biliary vesicle.
CAUSES
The chronic colecistitis is caused by light and repetitive attacks of sharp colecistitis which produces an engrosamiento of the walls of the biliary vesicle, and with the time it loses the aptitude to redeem his function to concentrate and to store the bile.
The most frequent cause is the stone presence or calculations in the biliary vesicle. This illness is more frequent in the women from 40 years.
SYMPTOMS
- Supported light abdominal pain or occasional colics.
- Chronic indigestion
- Frequent morning sickness
- Gas presence and eructations
DIAGNOSIS
Once described the symptoms in the exploration of the abdomen there will appear an area very sensitive inclusive to the tact in the right top area of the abdomen.
Then a study of the blood will be realized with request of:
- Bilirrubina
- Amilasa and lipasa
- Finished Hematimetría
- You try the hepatic function, GOT, GPT, GammaGT, fosfatasa alkaline
And also image studies will be realized:
Abdominal ultrasound scan
Abdominal scanner
Oral Colecistografía
Gammagrafía of the biliary vesicle with contrast with scoreboards.
TREATMENT
The surgery is the election treatment, at present it is realized almost always by means of laparoscopy. For it a group of small incisions is realized for the instruments insertion, including a small camera.
The analgesics and the diet low in fats will be a treatment before to the surgery.
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