Abstract

BRIZUELA QUINTANILLA, Raúl A.  and  FABREGAS RODRIGUEZ, Carlos. Experiencia en el tratamiento endoscópico de la obstrucción de la vía biliar principal. Rev Cub Med Mil [online]. 2003, vol.32, n.2, pp. 0-0. ISSN 1561-3046.

An analysis of 586 endoscopic retrograde colangiopancreatographies was made. 309 of them presented radiological signs of biliary tract obstruction, 197 (64 %) were benign and 112 (36 %) were malignant. Females prevailed over males in both, 136 (69 %) and 61 (31 %) in the first and 65 (58 %) versus 47 (42 %) in the second. Biliary lithiasis (152 patients) was the most common finding among the bening, whereas pancreas cancer (68 patients) was the most frequent among the malignant. The most used therapeutic procedures were sphincterotomy with removal of gallstones (141 cases), sphincterotomy with placement of endoprosthesis (37 patients in the bening cases) and sphincterotomy alone (6 cases) in those who had malignant obstruction. The complications resulting from therapeutic procedures performed accounted for 1.6 % in the bening and for 0.3 % among the malignant. All of them were mild and needed no more than a week of hospitalization (2 bleedings, 2 perforations and 1 cholecystitis). Mortality was not reported in this study. To conclude, it is shown in this series the experience accumulated in the diagnosis and endoscopic treatment of the biliary tract obstruction with low indexes of morbidity and no.

Keywords : CHOLESTASIS; SPHINCTEROTOMY, ENDOSCOPY; CHOLANGIO. PANCREATOGRAPHY, ENDOSCOPIC RETROGRADE [methods]; FEMALE.

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