Prevalencia de litiasis biliar y frecuencia de intervenciones quirúrgicas en miembros de la Policía Nacional atendidos en la DHG N°2 durante el periodo 2022-2023.

Abstract

Introduction: Biliary pathologies are prevalent in 10-15% of hospitalizations for gastrointestinal causes, especially in underdeveloped countries where living conditions favor their development. Methodology: A descriptive, retrospective, observational and cross-sectional study was carried out in DHG N°2, including policemen aged 20 to 70 years attended between January 2022 and December 2023. Results: Out of 144 individuals analyzed, the prevalence of biliary lithiasis was 5.14%. Laparoscopic cholecystectomy occupied 66% of the invasive approaches, Fatty liver comprised the most frequent surgical finding. The 22.7% of the cases were identified in patients between 40 and 49 years of age and women represented approximately 65%. Clinical-surgical history, hypertension and liver disease showed a negative correlation. Discussion/Conclusion: Although the prevalence of biliary lithiasis in this study was lower than estimated, it is important to consider that the population studied is limited to the care of the assistance unit. Laparoscopic cholecystectomy continues to be the most frequently performed invasive procedure, which is in agreement with the reports of several studies; additionally, the importance of selecting the appropriate procedures and taking into account the comorbidities that may influence the patient's evolution is emphasized.