Cultivo: fertilización integrada

Rodríguez, Ayda Fernanda Barona; Sandoval, Eduar Yovany Antolínez; Gómez, Maria Margarita Ramírez; González, Ximena López; Avendaño, Diego Fernando Avendaño

doi:10.21930/agrosavia.infografia.2022.6

Cited by 1 publication

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“…The true incidence of retained or recurrent stones is always difficult to ascertain. Due to the retrospective nature of our study, some cases of asymptomatic choledocholithiasis may not have been diagnosed, particularly assuming spontaneous clearance of GBV stones in 12-26% of affected patients [7][8][9][10]. Most of the studies that compare the endoscopic and surgical approach for the management of choledocholithiasis do not stratify the therapeutic approach based on age and few of them analyze the long-term results to determine the recurrence of lithiasis.…”

Section: Discussionmentioning

confidence: 99%

Multiple Choledochan Litiasis: Presentation of a Case

Echevarría,

Mursull,

Rodríguez

2023

MJCR

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Introduction: Choledocholithiasis is the most common cause of bile duct obstruction, occurring in 10-20% of patients with cholecystolithiasis, 7-14% of patients with cholecystectomy, and 18-33% of patients with acute biliary pancreatitis. Objective: To present a case with a giant multiple choledocholithiasis, with good evolution. Clinical Table : Female patient of 57 years of age, mixed race, smoker, hypertensive, with a history of vesicular lithiasis that was operated 28 years ago where initially it is treated by videolaparoscopy but in the transoperative it is determined its conversion to conventional cholecystectomy. The same goes to consultation of the area because it begins with pain in the epigastrium, dyspepsia, urine dark urine and sometimes gray stool for which they indicate a study and assess by the services of gastroenterology, general surgery where the surgical intervention is decided. Initially treated by ERCP and subsequently performed a Choledocholithotomy with placement of Kerh probe. Conclusions: The patient showed a favorable evolution.

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Section: Discussionmentioning

confidence: 99%