Abstract

BARRETO SUAREZ, Eduardo; SOLER PORRO, Luis Laureano  and  SUGRANES MONTALVAN, Adianez. Choledocholithiasis: diagnosis and therapy by means of endoscopic retrograde cholangiopancreatography. AMC [online]. 2010, vol.14, n.6, pp.1-10. ISSN 1025-0255.

Background: choledocholithiasis represents a complication of vesicular lithiasis; its presence favors other outcomes that may cause death, endoscopic retrograde cholangiopancreatography a useful tool for its diagnosis and treatment is presented. Objective: to describe the behavior of choledocholithiasis diagnosed by means of endoscopic retrograde cholangiopancreatography and the endoscopic treatment used. Method: a cross-sectional descriptive study in the gastroenterology service at the Manuel Ascunce Domenech University Hospital was performed from January 1998 to December 2008. The universe was constituted by three hundred ninety patients older than seventeen years with the suspicion of choledochal lithiasis; the sample was constituted by two hundred seventy-three patients to whom this disease was confirmed through the endoscopic retrograde cholangiopancreatography. Results: the age group between sixty-one and seventy-one years with sixty-six patients prevailed (24,2%). Icterus was the most frequent manifestation represented for a 50.5%. By means of endoscopic therapeutics were carried out sphincterotomy to one hundred thirty-three patients (48.7%), where the extraction of calculi was achieved in one hundred eighteen patients (43.2%). The main cause of failure was the presence of giant calculi in six cases (40.0%). The main complications were: asymptomatic hyperamylasemia and acute pancreatitis post endoscopic retrograde cholangiopancreatography. Conclusions: choledocholithiasis in the age group between sixty-one and seventy-one years prevailed. The main clinical manifestation was icterus. Sphincterotomy was the therapeutic procedure most used, where the giant calculi were the main cause of failure. Asymptomatic hyperamylasemia and acute pancreatitis post endoscopic retrograde cholangiopancreatography were the most frequent complications.

Keywords : CHOLEDOCHOLITHIASIS [diagnosis therapy]; CHOLANGIOGRAPHY; CROSS-SECTIONAL STUDIES; SPHINCTERTOMY; ENDOSCOPIC; YOUNG ADULT.

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