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Revista Médica Electrónica

versão On-line ISSN 1684-1824

Resumo

CHIONG QUESADA, Martín et al. Assessment of the endoscopic retrograde cholangiopancreatography as a diagnostic/therapeutic mean in patients with obstructive jaundice. Rev.Med.Electrón. [online]. 2021, vol.43, n.2, pp. 3120-3132.  Epub 30-Abr-2021. ISSN 1684-1824.

Introduction:

the diseases of the pancreatic-biliary axis are a consequence in the digestive tract morbidity-mortality, and sometimes they are the cause of a biliary obstruction. The endoscopic retrograde cholangiopancreatography is a precise method for diagnosing the biliary obstruction, and is associated to high rates of sensitivity and specificity.

Materials and methods:

a cross-sectional, descriptive, observational study was carried out with the aim of assessing the behavior of endoscopic retrograde cholangiopancreatography as a therapeutic and diagnostic mean in a sample of 90 patients with presumptive report of obstructive jaundice.

Results:

women aged more than 50 years predominated. Choluria, acholia and jaundice, as representative of the biliary ducts obstructive disease, were the most frequent manifestations, corroborated by the endoscopic study, where choledocal lithiasis was the main cause of jaundice.

Conclusions:

endoscopic sphincterotomy was the elective therapeutic procedure, and post-intervention acute pancreatitis was the most frequent complication.

Palavras-chave : jaundice; biliary ducts obstruction; endoscopic retrograde cholangiopancreatography; sphincterotomy..

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