Diagnosis
Diagnosis : Tokyo Guideline
Komplikasi :
- Acute cholecystitis (The most common complications of gallstone), acute pancreatitis, ascending cholangitis, and gangrenous gallbladder. Less frequent complications include Mirizzi syndrome, cholecystocholedochal fistula, and gallstone ileus.
- Mirizzi syndrome (0.7-1.4%) can be caused by either a single large stone or multiple small stones impacted in Hartmann’s pouch of the gallbladder or in the cystic duct. Recurrent cystic duct obstruction will lead to repeated attacks of cholecystitis and will render the gallbladder distended, thickened, and inflamed.
- Gallstone ileus is frequently proceeded by an episode of acute cholecystitis. The resulting inflammation and adhesions facilitate the erosion of the offending gallstone through the gallbladder wall forming a cholecystoenteric fistula and allowing the passage of the gallstone. The fistula is most commonly encountered in the duodenum, although it can occur anywhere in the GI tract (colon, stomach, and small bowel).
Abou-Saif A, Al-Kawas FH. Complications of gallstone disease: Mirizzi syndrome, cholecystocholedochal fistula, and gallstone ileus. Am J Gastroenterol. 2002;97(2):249-254.
DD :
Sumber catatan
- Fujita N, Yasuda I, Endo I, Isayama H, Iwashita T, Ueki T, et al. Evidence-based clinical practice guidelines for cholelithiasis 2021. J Gastroenterol. 2023;58(9):801-833. doi: 10.1007/s00535-023-02014-6.
Lokasi catatan: Alur diagnosis batu kandung empedu, batu saluran empedu, dan komplikasi pada pedoman JSGE.
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