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FI 2015

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© Thomson Reuters, Journal Citation Reports, 2015

Indexada en:

SCIE/JCR, Index Medicus/Medline, IBECS, IME

Métricas

  • Factor de Impacto: 1,000(2015)
  • 5-años Factor de Impacto: 0,876
  • SCImago Journal Rank (SJR):0,24
  • Source Normalized Impact per Paper (SNIP):0,438
doi: 10.1016/S0009-739X(02)71987-8
Coledocolitiasis: indicaciones de colangiopancreatografía retrógrada endoscópica y colangiorresonancia magnética
Choledocholithiasis: Indications for endoscopic retrograde cholangiopancreatography and magnetic resonance cholangiography
Camilo J. Castellón1, , Elías Del Amo
Servicio de Cirugía General
Miguel Fernándeza
a Unidad de Medicina Digestiva. Hospital San Pedro de Alcántara. Cáceres
Aceptado 28 febrero 2002
Resumen

El tratamiento de los pacientes con coledocolitiasis es controvertido. El desarrollo de nuevas tecnologías (colangiorresonancia magnética, tomografía axial computarizada [TAC] helicoidal con colangiograma, ecografía endoscópica) ha permitido lograr un diagnóstico más exacto de la coledocolitiasis, modificar el abordaje quirúrgico inicial en centros sin suficiente experiencia laparoscópica y evitar exploraciones preoperatorias innecesarias, con la consiguiente reducción de complicaciones. Aunque se han propuesto diversas estrategias diagnosticoterapéuticas que permiten un empleo más racional de los distintos recursos, no existe consenso sobre los criterios de selección.

Revisamos las indicaciones actuales de la colangiopancreatografía retrógrada endoscópica y la colangiorresonancia magnética y proponemos un algoritmo diagnóstico basado en el grado de sospecha de coledocolitiasis.

Resumen

The management of patients with common bile duct stones remains controversial. New developments in diagnostic modalities (magnetic resonance cholangiography, helical computed tomography cholangiography and endoscopic ultrasonography) have allowed us to achieve an accurate diagnosis of choledocholithiasis and to modify the initial surgical approach in centers without sufficient experience in laparoscopy, with a consequent reduction of complications.

Although many diagnostic and therapeutic strategies have been proposed to achieve a more rational use of resources and improve patient care, consensus on selection criteria is lacking.

We review the current indications for endoscopic retrograde cholangiopancreatography and magnetic resonance cholangiography, and propose a diagnostic algorithm based on risk for choledocholithiasis.

Palabras clave
Coledocolitiasis, Colangiopancreatografía retrógrada endoscópica, Colangiorresonancia magnética
Key words
Choledocholithiasis, Endoscopic retrograde cholangiopancreatography, Magnetic resonance cholangiography
El Texto completo solo esta disponible en PDF
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Correspondencia: Dr. C.J. Castellón Pavón. Bioy Casares, 1, esc. 1, 2,º D. 10005 Cáceres.
Copyright © 2002. Asociación Española de Cirujanos