Luces y sombras en la predicción de coledocolitiasis: oportunidades para la investigación futura

Palabras clave: Coledocolitiasis, Riesgo de coledocolitiasis, diagnóstico, modelos de predicción, umbrales

Resumen

La coledocolitiasis secundaria es una entidad de alta prevalencia que involucra desafíos de diagnóstico y tratamiento; asimismo, genera un elevado uso de recursos y costo económico. Existen múltiples vacíos de conocimiento con respecto a los modelos de predicción clínica para el diagnóstico, estratificación en grupos de riesgo y manejo de pacientes con coledocolitiasis secundaria. Los principales vacíos recaen sobre su rendimiento diagnóstico, variables incluidas y umbrales de riesgo, así como sobre su costo-efectividad para el uso de recursos no invasivos e invasivos, y aplicación en grupos poblacionales especiales. Este artículo ahonda estos vacíos de conocimiento y propone una agenda que puede orientar la investigación futura.

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Biografía del autor/a

Sebastian Contreras, Universidad de la Sabana

Médico, residente de cirugía general. Clínica Universidad de la Sabana, Fundación Cardio Infantil. Bogotá, Colombia

Luis Carlos Dominguez, Universidad de la Sabana

Médico de la Pontificia Universidad Javeriana, cirujano Pontificia Universidad Javeriana, Jefe de departamento cirugía General Universidad de la Sabana, Doctor en educacion médica Universidad de Mastritch. Chía, Cundinamarca, Colombia.

Eduardo Valdivieso, Centro Internacional de Enfermedades Digestivas - Fundacion Ildetecsa

Especialista en Cirugía de Vías Digestivas Mínimamente Invasiva. Bogotá

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Publicado
2021-10-01
Cómo citar
Contreras, S., Dominguez Torrez, L. C., & Valdivieso Rueda, E. (2021). Luces y sombras en la predicción de coledocolitiasis: oportunidades para la investigación futura. Revista Colombiana De Gastroenterología, 36(4), 494-500. https://doi.org/10.22516/25007440.773
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