<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992020000400288</article-id>
<article-id pub-id-type="doi">10.35366/101398</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La discinesia vesicular continúa siendo una incógnita a resolver en problemas médicos, revisión de la literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Gallbladder dyskinesia continues to be an unknown knowledge to resolve a medical problem, literature review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera Chabert]]></surname>
<given-names><![CDATA[Leopoldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León Quintero]]></surname>
<given-names><![CDATA[Narcizo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Llamas Prieto]]></surname>
<given-names><![CDATA[Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rico Guzmán]]></surname>
<given-names><![CDATA[María Gema]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ávila Toscano]]></surname>
<given-names><![CDATA[Alfredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital San Javier Departamento de Gastro-Cirugía ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital San Javier  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital San Javier  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital San Javier  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>42</volume>
<numero>4</numero>
<fpage>288</fpage>
<lpage>299</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992020000400288&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992020000400288&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992020000400288&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  El propósito de este informe es describir que la discinesia de la vesícula biliar representa el trastorno más difuso de la motilidad gastrointestinal sin conocer el origen, el diagnóstico de la discinesia vesicular continúa siendo un desafío, especialmente para los médicos que no están bien relacionados o familiarizados con esta entidad de dolor en epigastrio o cuadrante superior derecho, sin ninguna alteración orgánica que pueda explicar los síntomas del paciente. La discinesia de la vesícula biliar debe sospecharse en pacientes con dolor biliar, en quienes las enzimas hepáticas, pancreáticas, la ecografía abdominal hepatobiliar y la endoscopia digestiva alta son normales, sin alteraciones que expliquen el cuadro clínico.  Material y métodos:  De 132 pacientes operados de colecistectomía, sólo 60 pacientes con discinesia vesicular se registraron en este estudio, de los cuales, sólo 55 pacientes se sometieron a medicina nuclear para gammagrafía hepatobiliar con prueba de Boyden. Todos estaban sintomáticos, y no se mitigaban sus molestias con antiácidos, procinéticos o inhibidores de la bomba de protones.  Resultados:  De los 60 pacientes que se sometieron a colecistectomía por cirugía laparoscópica, todos ellos han reportado de buenos a excelentes resultados tanto funcionales como sintomáticos, con una morbilidad mínima, sin muertes y sin recurrencia de la sintomatología a seis meses de seguimiento.  Conclusiones:  Desde la primera descripción por Krukenberg en 1903, el enfoque de la discinesia vesicular no ha ganado popularidad mundial entre los cirujanos. Creemos que cuando hay una historia clínica precisa, un examen físico completo que concluya que no hay visceromegalias y en ausencia de cálculos biliares u otra patología estructural en el ultrasonido abdominal, se debe considerar una discinesia vesicular hasta que no se demuestre lo contrario.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  The purpose of this report is to describe that gallbladder dyskinesia represents the most diffuse disorder of gastrointestinal motility without knowing the origin; the diagnosis of gallbladder dyskinesia is a challenge, particularly for doctors who are not well related or familiar with this entity of abdominal pain without any abdominal alteration that can explain the patient symptoms. Gallbladder dyskinesia should be suspected in patients with biliary pain, in which liver and pancreatic enzymes, abdominal hepatobiliary ultrasound and upper gastrointestinal endoscopy are normal, without alterations that explain the clinical picture.  Material and methods:  We operated 132 patients, where only 60 patients with gallbladder dyskinesia were enrolled in this study. Fifty-five from the 60 patients underwent a (HIDA) scintigraphy with Boyden test. They were all severely symptomatic, which were not relieved by antacids, prokinetics or proton pump inhibitors.  Results:  Of the 60 patients who underwent to cholecystectomy by laparoscopy surgery, all of them have reported well to excellent functional and symptomatic outcomes with minimal morbidity, no deaths, and no recurrence of symptomatology, six months follow up.  Conclusions:  Since the first description by Krukenberg in 1903, gallbladder dyskinesia approach has not gained worldwide popularity among surgeons. It is our belief that when there are a precise history, complete physical examination that concludes that there are not visceromegalies, and in the absence by US of gallstones or another structural pathology, you should considerate a gallbladder dyskinesia until proven otherwise.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Discinesia vesicular]]></kwd>
<kwd lng="es"><![CDATA[reto]]></kwd>
<kwd lng="es"><![CDATA[cólico]]></kwd>
<kwd lng="es"><![CDATA[náuseas]]></kwd>
<kwd lng="es"><![CDATA[vómito]]></kwd>
<kwd lng="es"><![CDATA[distención abdominal]]></kwd>
<kwd lng="en"><![CDATA[Gallbladder dyskinesia]]></kwd>
<kwd lng="en"><![CDATA[challenge]]></kwd>
<kwd lng="en"><![CDATA[colic]]></kwd>
<kwd lng="en"><![CDATA[náusea]]></kwd>
<kwd lng="en"><![CDATA[vomit]]></kwd>
<kwd lng="en"><![CDATA[abdominal bloating]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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