Patología Biliar 2025: Colelitiasis, Colecistitis, Coledocolitiasis y Colangitis | VILLAMEDIC

💚 BILIARY PATHOLOGY: COLIC, CHOLECYSTITIS, CHOLEDOCHOLITHIASIS, AND CHOLANGITIS UPDATED 2025 In this educational video, we clearly and practically review the most frequent biliary pathologies: asymptomatic cholelithiasis, biliary colic, acute cholecystitis, choledocholithiasis, cholangitis, and biliary pancreatitis. We explain the pathophysiology of stone formation, the typical clinical presentation (right upper quadrant pain, positive Murphy's sign, jaundice, fever), the diagnostic approach using laboratory tests, ultrasound, and magnetic resonance cholangiopancreatography (MRCP), as well as current management recommendations according to guidelines (Tokyo, EsSalud, ASGE). 📋 VIDEO CONTENT Cholelithiasis: types of stones (cholesterol, pigment stones), risk factors (female sex, obesity, pregnancy, dyslipidemia, rapid weight loss). Biliary colic: colicky pain in the right upper quadrant or epigastrium, postprandial and fatty, without fever or leukocytosis. Acute cholecystitis: obstruction of the cystic duct by a stone, continuous right upper quadrant pain, positive Murphy's sign, fever, leukocytosis; management with antibiotics and early cholecystectomy. Choledocholithiasis: stones in the common bile duct; jaundice, dark urine, elevated alkaline phosphatase (ALP) and gamma-glutamyl transferase (GGT); diagnosis with ultrasound, magnetic resonance cholangiopancreatography (MRCP), or endoscopic retrograde cholangiopancreatography (ERCP). Acute cholangitis: Charcot's triad (right upper quadrant pain, fever, jaundice) and Reynolds' pentad if hypotension and altered mental status are present; an emergency requiring antibiotics and early biliary decompression (ERCP). Biliary pancreatitis: migration of a stone to the ampulla; related to acute pancreatitis. 🎯 TARGET AUDIENCE Emergency room physicians, internal medicine physicians, and general surgeons. Gastroenterologists, endoscopists, and interventional radiologists. Internal medicine, gastroenterology, and surgical residents. Medical students and emergency/ICU nursing staff. ⚕️ KEY POINTS ✅ Cholelithiasis is very common and is usually asymptomatic; it is only treated if symptoms or complications arise. ✅ Acute cholecystitis: continuous right upper quadrant pain + fever + positive Murphy's sign; ultrasound is the initial test; treatment with antibiotics and early cholecystectomy. ✅ Choledocholithiasis and cholangitis always require ruling out biliary obstruction and considering early endoscopic decompression. 🔗 USEFUL LINKS Subscribe for more content on hepatobiliary-pancreatic and digestive emergencies. Turn on notifications 🔔 for new lessons. Share this video with colleagues, residents, and students. Write your questions and clinical cases of biliary pathology in the comments. Like 👍 if this topic helps you during on-call shifts and exams. #️⃣ HASHTAGS #BiliaryPathology #Cholelithiasis #AcuteCholecystitis #Choledocholithiasis #Cholangitis #BiliaryColic #BiliaryPancreatitis #Gallbladder #BiliaryTract #Jaundice #MurphyPositive #AbdominalUltrasound #ERCP #LaparoscopicSurgery #Gastroenterology #GeneralSurgery #Hepatology #EmergencyMedicine #InternalMedicine #Medicine2025 #TokyoGuidelines #VILLAMEDIC #MedicalResidency #MedicalEducation #MedStudentLife #DoctorLife