Correlación de las Guías de Tokio 2018 con el examen histopatológico en el diagnóstico definitivo de colecistitis aguda en cirugía

Abstract

Abstract: Acute cholecystitis consists of inflammation of the gallbladder, which can be caused by an obstruction, chemical or bacterial agents, constituting a worldwide recurring health problem, whose therapeutic success depends on early evaluation, by applying simple and clear diagnostic criteria. The objective is based on determining the correlation of the criteria of the Tokyo Guides 2018 with the histopathological examination in the definitive diagnosis of acute cholecystitis in surgery. It is a literature review of publications from 2017 in databases such as PubMed, Google Scholar, BVS, SCIELO and COCHRANE LIBRARY. From a total of 625 articles retained, 4 studies were analyzed, where they mention, that the Tokyo 2018 criteria report a higher number of false positive cases, compared to the histopathological result, where a higher prevalence of chronic cholecystitis was obtained (grade III) of 74%, unlike 27% that correspond to acute inflammatory changes, concluding that the histopathological examination presents greater diagnostic sensitivity and specificity for acute cholecystitis.