{"id":12227,"date":"2018-04-23T05:00:29","date_gmt":"2018-04-23T05:00:29","guid":{"rendered":"http:\/\/contenidosportal.sld.cu\/portal20142020\/?p=3054"},"modified":"2018-04-23T05:00:29","modified_gmt":"2018-04-23T05:00:29","slug":"gallstones-watch-and-wait-or-intervene","status":"publish","type":"post","link":"https:\/\/contenidosportal.sld.cu\/portal20142020\/2018\/04\/23\/gallstones-watch-and-wait-or-intervene\/","title":{"rendered":"Gallstones: Watch and wait, or intervene?"},"content":{"rendered":"<div class=\"item-node\">\n<p><a href=\"https:\/\/www.mdedge.com\/sites\/default\/files\/Document\/March-2018\/ibrahim_gallstones.pdf\" target=\"_blank\" rel=\"noopener\">Gallstones: Watch and wait, or intervene?<\/a><br \/>\nIbrahim M, Sarvepalli M, Morris-Stiff G y cols. Cleveland Clinic Journal of Medicine 2018;85:4<\/p>\n<p>El sitio <a href=\"http:\/\/www.intramed.net\/contenidover.asp?contenidoID=92373&amp;uid=492002&amp;fuente=inews\" target=\"_blank\" rel=\"noopener\">IntraMed<\/a> nos sugiere la lectura del trabajo <a href=\"https:\/\/www.mdedge.com\/sites\/default\/files\/Document\/March-2018\/ibrahim_gallstones.pdf\" target=\"_blank\" rel=\"noopener\">Gallstones: Watch and wait, or intervene?<\/a> (Litiasis biliar: &iquest;conducta expectante o intervenci&oacute;n?).<\/p>\n<p>La litiasis biliar es frecuente en los adultos. Es asintom&aacute;tica en hasta el 80 % de los casos y las recomendaciones actuales no aconsejan la colecistectom&iacute;a a menos que cause s&iacute;ntomas.<\/p>\n<p>El dolor abdominal es el s&iacute;ntoma principal de la litiasis. La ecograf&iacute;a abdominal es la prueba diagn&oacute;stica de elecci&oacute;n para detectar los c&aacute;lculos y evaluar los datos que sugieren colecistitis aguda y dilataci&oacute;n del conducto biliar com&uacute;n.<\/p>\n<p>El tratamiento de elecci&oacute;n para los c&aacute;lculos asintom&aacute;ticos es la conducta expectante<\/p>\n<p>La colecistectom&iacute;a laparosc&oacute;pica es el tratamiento habitual para la litiasis sintom&aacute;tica, la colecistitis aguda y la pancreatitis causada por c&aacute;lculos biliares.<\/p>\n<\/div>\n<div class=\"clear\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Gallstones: Watch and wait, or intervene? Ibrahim M, Sarvepalli M, Morris-Stiff G y cols. Cleveland Clinic Journal of Medicine 2018;85:4 El sitio IntraMed nos sugiere la lectura del trabajo Gallstones: Watch and wait, or intervene? (Litiasis biliar: &iquest;conducta expectante o intervenci&oacute;n?). La litiasis biliar es frecuente en los adultos. Es asintom&aacute;tica en hasta el 80 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"close","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-12227","post","type-post","status-publish","format-standard","hentry","category-noticia"],"_links":{"self":[{"href":"https:\/\/contenidosportal.sld.cu\/portal20142020\/wp-json\/wp\/v2\/posts\/12227","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/contenidosportal.sld.cu\/portal20142020\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/contenidosportal.sld.cu\/portal20142020\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/contenidosportal.sld.cu\/portal20142020\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/contenidosportal.sld.cu\/portal20142020\/wp-json\/wp\/v2\/comments?post=12227"}],"version-history":[{"count":0,"href":"https:\/\/contenidosportal.sld.cu\/portal20142020\/wp-json\/wp\/v2\/posts\/12227\/revisions"}],"wp:attachment":[{"href":"https:\/\/contenidosportal.sld.cu\/portal20142020\/wp-json\/wp\/v2\/media?parent=12227"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/contenidosportal.sld.cu\/portal20142020\/wp-json\/wp\/v2\/categories?post=12227"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/contenidosportal.sld.cu\/portal20142020\/wp-json\/wp\/v2\/tags?post=12227"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}