Resumen

BRIZUELA QUINTANILLA, Raúl A et al. Aplicaciones diagnósticas y terapéuticas de la colangiopancreatografía retrógrada endoscópica. Rev Cub Med Mil [online]. 2000, vol.29, n.3, pp. 162-167. ISSN 1561-3046.

The work carried out from May 1997 to December 1998, that is, for 19 months in the treatment of 586 patients (230 men and 356 women) who were performed endoscopic retrograde cholangiopancreatography (ERCP) was assessed in this paper. This group comprised several age groups, being the predominant the 40-79 years-old group (70%). Of 586 patients, 544 underwent ERCP (92.8%) of which 255 (46.8%) were diagnostic and 289 (53.2%) therapeutical. The principal reason for performing ERCP was suspicion of benign main biliary duct disease (MBD) in 57.3% of the patients and the main diagnosis was biliary lithiasis (30%) followed by malignant obstruction in MBD (22%). The most used therapeutic procedures were endoscopic sphinterotomy (218), the extraction of biliary stones (106) and endoscopic biliary prosthesis in MBD (116). There were ten cases with complications (1.8%), 5 cases with bleeding, 2 with perforations, 2 with pancreatitis and one with cholangitis. All these problems were solved by medical and endoscopic treatment. No death was recorded. The diagnostic and therapeutic usefulness of ERCP with minimum risks and complications for patients in need of such technique was proved. Also the experience gained by the medical team in performing ERCP was shown.

Palabras clave : CHOLANGIOPANCREATOGRAPHY, ENDOSCOPIC RETROGRADE [methods].

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