SciELO - Scientific Electronic Library Online

 
vol.33 número2Efecto Antimetastásico de Celecoxib/PLGA en un Modelo Murino de Adenocarcinoma Mamario TA3-MTX-RDescripción Anatómica de Cinco Órganos Internos del Delfín Nariz de Botella (Tursiops truncatus), a Través de la Técnica de Plastinación índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


International Journal of Morphology

versión On-line ISSN 0717-9502

Resumen

FIGUEROA, Julio et al. Postoperative Morbidity by Endoscopic Retrograde Cholangiography with or without Ulterior Papillotomy: Series of Cases. Int. J. Morphol. [online]. 2015, vol.33, n.2, pp.566-570. ISSN 0717-9502.  http://dx.doi.org/10.4067/S0717-95022015000200025.

Bileduct stones is prevalent in our country, with prevalences between 30% and 50%; and obstructive jaundice secondary to choledocholithiasis (OJC), is a frequent reason of consultation in emergency services. Furthermore, endoscopic papillotomy (EP) post ERCP is the treatment of choice in these cases; however, it is not free of complications (POM). The aim of this study is to describe POM and identify potential risk factors (RF) associated with POM in patients with OJC, underwent PE. Retrospective case series of patients with OJC, who underwent ERCP and subsequent PE. Outcome variable was the development of POM (bleeding, perforation, and pancreatitis). Other variables of interest were cannulation, difficulty of this, developing PE, using precut and mortality. Data collection was performed by an ad-hoc pattern in which the variables extracted from surgical protocols and clinical data were recorded. Descriptive and analytical statistics (Pearson Chi2 and Fisher's exact test) were applied to assess strength of association. 200 patients were operated. The mean age was 60±18 years; 62% were women (n = 124). MPO was recorded in 32 cases (16.0%): perforation (0.5%), pancreatitis (2.0%) and bleeding (13.5%). The series does not record mortality. It was not possible to objectify association between "difficult cannulation" and the variables bleeding (p= 0.214); pancreatitis (p= 0.519); and perforation (p= 1). However, association between bleeding and performing PE (p= 0.017) was observed. Hemorrhage is the most common cause of MPO in this series; and PE is a RF for the development of bleeding.

Palabras clave : Choledocholithiasis; Choledocholithiasis/surgery; Gallstones; Bile duct diseases; Cholangiopancreatography; Retrograde cholangiopancreatography; Endoscopic retrograde/therapeutic use.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons