Validación de los Criterios de Tokio 2018 en el diagnóstico de colecistitis aguda en pacientes atendidos en el Servicio de Cirugía General del Hospital José Carrasco Arteaga enero a diciembre 2019

Abstract

BACKGROUND: The high prevalence and incidence of cholecystitis and these complications make it a pathology with high socioeconomic impact, it ́s important to make a timely and accurate diagnosis. Is the main complication of cholelithiasis and the treatment is laparoscopic cholecystectomy. OBJECTIVE: To validate the Tokyo 2018 criteria with the intraoperative finding and histopathological examination of the surgical specimen for the diagnosis of acute cholecystitis in patients treated at the General Surgery Service of the José Carrasco Arteaga Hospital from January to December 2019 METHODOLOGY: A diagnostic test validation study was conducted (Tokyo 2018 criteria) with the histopathology results of the surgical piece, from January to December 2019. Once the data were collected, these were codified and entered into a database in the SPSS version 15 system. RESULTS: The average age was 49.1, been more frequent in female sex with 54%. Murphy's sign present in 94% being a sensitive sign, fever 36%; 74% presented leukocytosis, 62% elevated C-reactive protein, 74% thickened wall. The Tokyo guideline for histopathology has sensitivity and specificity of 74% and 63.1%, respectively. Positive and negative predictive value of 46.7% and 83.3%. CONCLUSIONS: Acute cholecystitis is more frequent in the female sex. The degree of mild severity was the most significant, and the sensitivity and specificity was low. That happen when we use pathologic simples as gold standard.