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Cirujano general
versión impresa ISSN 1405-0099
Resumen
DIAZ-ROSALES, Juan de Dios; ORTIZ-RUVALCABA, Oscar I; MENA-ARIAS, Gilberto y MORALES-POLANCO, Sergio. Factors associated with severity of grade I cholecystitis vs grade II in adult female patients. Cir. gen [online]. 2020, vol.42, n.1, pp.6-12. Epub 24-Sep-2021. ISSN 1405-0099. https://doi.org/10.35366/92705.
Introduction:
Cholelithiasis is a great public health problem in Mexico. Obesity plays a role during genesis of gallbladder disease, however, is not clear if it affects the severity of cholecystitis.
Objective:
The aim of this study was to evaluate risk factors for severity in cholecystitis (grade I vs grade II) in female patients.
Material and methods:
Cross-sectional study to evaluate risk factors to severity during cholecystitis (grade I vs grade II) in women that were underwent to laparoscopic cholecystectomy. We evaluated and compared: age, weight, height, body mass index (BMI), waist, hip, waist-hip index (WHI), blood pressure, glucose, cholesterol, high density lipoproteins (HDL), triglycerides, leucocytes, neutrophils, surgical time, presence of type 2 diabetes, arterial hypertension, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, central obesity, obesity by WHI, and metabolic syndrome.
Results:
We analyzed 132 patients that were underwent to laparoscopic cholecystectomy. Only triglycerides (155.9 vs 178.4; p = 0.008) and presence of hypertrygliceridemia (40.5% vs 70.8%; p = 0.001) were statistical different.
Conclusions:
Neither obesity by BMI nor central obesity (by waist or WHI) have a relation with severity of cholecystitis, but levels of triglycerides and presence of hypertriglyceridemia could be risk factor for severity (grade II).
Palabras llave : Cholecystitis; cholecystectomy; gallstones; women.