Abstract

RAMOS LOZA, Coral Marina; MENDOZA LOPEZ VIDELA, Jhosep Nilss  and  PONCE MORALES, Javier Alejandro. TOKYO GUIDE APPLICATION IN LITHIASIC ACUTE CHOLECYSTITIS. Rev. Méd. La Paz [online]. 2018, vol.24, n.1, pp.19-26. ISSN 1726-8958.

Tokyo Guidelines (TG-13) are used to diagnose, assess severity and guide the management of Acute Cholecystitis (AC). The aim of our study was to apply Tokyo Guidelines in the diagnosis of AC in emergency and surgery services at Hospital de Clínicas, between April to November 2017. It was studied 222 patients who were admitted with AC symptoms to surgery and emergency services. 40 ± 10 was the average age, 86% were women, 89.6% corresponded to Grade I, 9.4% Grade II and grade III was not present. Performing a correlation according to TG-13 and surgical findings it was observed that 14% had an acute edematous cholecystitis, 5% acute necrotizing cholecystitis classified as mild acute cholecystitis according to Tokyo Guidelines, and 3% with diagnosis of exacerbated acute cholecystitis and with moderated acute cholecystitis. TG-13 showed a sensibility of 83% for AC diagnosis. It is concluded that TG-13 are applicable in our setting, they allow to diagnose, to classify adequately, and to have a management guideline for AC opportune treatment.

Keywords : Acute Cholecystitis; Tokio Guidelines; Cholecystectomy; Severity grade.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )