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Guías de tokio para colecistitis y colangitis

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Guías para tratamiento médico

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Guías de tokio para colecistitis y colangitis

  1. 1. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  2. 2. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  3. 3. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  4. 4. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  5. 5. Formación del Lito Inflamación Grado de Taponamiento Duración de la obstrucción Taponamiento del cuello o el conducto cístico. Patofisiología TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  6. 6. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  7. 7. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  8. 8. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  9. 9. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  10. 10. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  11. 11. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  12. 12. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  13. 13. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  14. 14. USG: 50-88% S y 80-88 E. a. Engrosamiento de la pared vesicular > 5 mm b. Fluido pericolecistico. c. Signo de Murphy USG D. Cálculos E. Gas vesicular. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  15. 15. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  16. 16. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  17. 17. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  18. 18. Lawrence M. Knab et al.. Cholecystitis
  19. 19. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  20. 20. Colecistitis enfisematosa 1. Engrosamiento irregular de la pared vesicular. 2. Imagen sugestiva de ruptura de la pared 3. Eco producido por el gas . TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  21. 21. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  22. 22. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  23. 23. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  24. 24. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  25. 25. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  26. 26. Tomado de: Bile Duct Strictures. R Brugge et al TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  27. 27. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  28. 28. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  29. 29. Triada de Charcot: Baja S (26,4%), alta E (95,9). 26-72% de todos los pacientes. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  30. 30. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  31. 31. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  32. 32. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  33. 33. 6. Disfunción Hematológica. 7.Trastorno de la conciencia. 8. Indice Kirby < 300 9. Oliguria, Creatinina > 2 mg/dl 10. PT/INR > 1,5 11. Conteo plaquetario: < 100 000. 12. hipotensión refractaria a medicamentos. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  34. 34. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  35. 35. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  36. 36. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  37. 37. Grado I (Colecistitis o Colangitis): Cefotaxim + Metronidazol. 1 día de AB post Colecistectomía Perforación, enfisematosa, 2-7 días post colecistectomía. (Colecistitis). Colangitis: 4-7 días, bacteremia Gram + 2 semanas. Grado II (Colecistitis o Colangitis): Cefepime, ceftazidima + metronizaol o Piperacilina tazobactan. 4-7 días, bacteremia Gram + 2 semanas. Grado III (Colecistitis o Colangitis): Cefepime, ceftazidima + metronizaol, Piperacilna/tazobactan. 4-7 días, bacteremia Gram + 2 semanas. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  38. 38. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  39. 39. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  40. 40. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  41. 41. TG13: UpdatedTokyo Guide lines for acute cholangitis and acute cholecystitis. J Hepatobiliary Pancreat
  42. 42. Gracias
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Guías para tratamiento médico

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