Litiasis Biliar Dr. Gallardo
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Litiasis Biliar
Dr. Waldo Gallardo S.
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Litiasis Biliar
• Frecuencia en Chile 60% de las mujeres y más del 30% de los hombres sobre 50 años
• La litiasis vesicular es a su vez el principal factor de riesgo para desarrollar cáncer de la vesícula biliar, la complicación más grave de la litiasis vesicular.
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Litiasis Biliar
• El cáncer de la vesícula biliar
– Principal causa de muerte por cáncer en las mujeres Chilenas
– Cuarta causa de muerte por cáncer en hombres
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Composición
• En Chile, el 80 a 90% de los cálculos son de colesterol; esto quiere decir que más del 75% de su peso seco es colesterol libre.
• Un 10% de los casos son de composición mixta (de colesterol y pigmento)
• Un 5% son pigmentarios (más del 80% de su peso seco es bilirrubinato de calcio)
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Equilibrio
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Bilis litogénica
• Sobresaturada de colesterol y con cristales de colesterol
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Cambios vesiculares
– Se llena menos eficientemente en los períodos de ayuno
– Disminuye su capacidad contráctil posterior a las comidas (vaciamiento).
– Incrementa la secreción de mucus (mucina) y otras proteínas.
– Existe inflamación crónica y a veces fibrosis de su pared (engrosamiento).
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Rol de la Vesícula en Colelitiasis
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Trastorno Mixto
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Colelitiasis
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Cálculo pigmentario
• Se origina por deconjugación de la bilirrunina secretada a la bilis
• Bacterias contienen una enzima denominada -Glucuronidasa capaz de deconjugar la bilirrubina biliar.
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Cálculo pigmentario
• La bilirrubina no-conjugada es menos soluble en agua y precipita formando complejos con el cálcio presente en la bilis (agregados insolubles de Bilirrubinato de Calcio).
• Son más frecuentes de ver en condiciones donde se ve facilitada la colonización o infección crónica de la vía biliar por bacterias de origen entérico
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Causas Cálculo Pigmentario
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Cálculo de Colesterol
• Se requiere inicialmente la formación de una bilis sobresaturada de colesterol en forma sostenida en el tiempo
• El colesterol cristaliza y precipita (denominada fase de nucleación o cristalización) formando pequeños cristales o "microcálculos"
• Cristales de colesterol deben crecer y agregarse en forma progresiva
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Consecuencias de Colelitiasis
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Litiásis y Cancer Vesicular
• Se acepta en cambio generalmente, que la litiasis vesicular puede ser un factor etiológico, ya que acompaña a las neoplasias en el 80 al 90% de los casos.
• El cáncer vesicular se hace presente en aproximadamente el 2% de las vesículas extirpadas por litiasis
• El proceso empezaría como una hiperplasia inducida por la presencia de los cálculos, que se transformaría después en un carcinoma in situ