Caso clínico : intervención nutricional en paciente con colecistitis aguda.

Abstract

Acute cholecystitis is the sudden inflammation of the gallbladder, which causes a number of abdominal discomfort often causing liver and pancreatic problems, due to the sudden obstruction of the cystic duct usually by some type of stone, causing the bile produced to stay inside the gallbladder itself, the accumulation of bile causes irritation in the gallbladder, in addition to altering the digestive process and this in turn contributes to infectious processes and abdominal bloating. The following work presents the clinical case of a 10-year-old and 3-month-old pediatric female patient, with a history of common bile duct cyst and cysto duodeno anastomosis, admitted to the health home for acute abdominal pain, secondary to cholelithiasis, in addition to other underlying pathological history such as epilepsy diagnosed at 5 years of age but this time admitted to the hospital for symptoms related to gastric problems such as abdominal pain. bilious vomiting and fever of 38 degrees, laboratory and abdominal tests are performed, so what is sought is to reduce future complications and contribute to a prompt recovery through an adequate nutritional intervention since it has little digestive tolerance for biliary vomiting, which leads us to establish NPO (nothing orally) and resort to NET (early enteral nutrition) through a transpyloric tube since it is sought to have a 25% contribution in the improvement of It is known that the patient who recovers quickly is the one who has a correct diet, a theory that is analyzed and worked on in this review.