Argumentación de los pilares diagnósticos y terapéuticos de la colecistitis aguda basada en los criterios de Tokio

Abstract

Introduction: Acute cholecystitis is defined as the clinical condition in which there is inflammation of the gallbladder due to endogenous or exogenous causes or obstructive processes that trigger an acute inflammatory process. Within the most frequent causes of abdominal pain correspond to 3-10%, worldwide it is expected that the prevalence of the same is between 10-30% and within the most common presentation which is its lithiasic form corresponds between 90-95%, in Ecuador according to data from the National Institute of Statistics and Census (INEC) of 2019 cholecystitis and cholelithiasis had an incidence of 43,673 cases nationwide, being the first cause of hospital care in the female sex and the third in men. Objective: To explain the diagnostic and therapeutic fundamentals based on the Tokyo Criteria for the correct management of patients with acute cholecystitis. Methodology: descriptive study, based on a systematic bibliographic review, the analysis of scientific articles from various evidence-based medicine journals with high impact on health (Pubmed, UpToDate, Clinical Key, The New England Journal of Medicine, Springer, etc); from the last 5 years in progress, with the processing of scientific information in Paperpile. Conclusion: Acute cholecystitis is one of the pathologies with the highest incidence worldwide and in our country in relation to abdominal pain, equating to appendicitis, which is why it is necessary to use precise diagnostic algorithms that systematically and correctly lead to a diagnosis.