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Revista Archivo Médico de Camagüey
On-line version ISSN 1025-0255
Abstract
MONTES DE OCA MEGIAS, Elizabeth et al. Biliopancreatic malignant tumors: diagnosis and therapy by means of endoscopic retrograde cholangiopancreatography. AMC [online]. 2013, vol.17, n.2, pp. 150-161. ISSN 1025-0255.
Background: biliopancreatic malignant tumors are not very frequent and has bad prognosis. Endoscopic retrograde cholangiopancreatography constitutes the diagnostic and therapy option more important in advanced stages. Objective: to describeb the diagnosis and therapy of malignant biliopancreatic tumors by endoscopic retrograde cholangiopancreatography at Manuel Ascunce Domenech University Hospital, during the period january 2005 to july 2010. Methods: we realized a transversal descriptive study, 600 patients who were performed an endoscopic retrograde cholangiopancreatography constituted the universe. The sample was selected by non-probabilistic sampling, it was conformed by 75 cases with diagnostic of malignant tumor of bile ducts or pancreas. The information of the endoscopic retrograde cholangiopancreatography registrations was emptied in a form and was processed by means of the statistical system SPSS for windows. Results: predominated group of 70-79 years, male sex, 90,6 % of patients presented ictero, Computed Axial Tomography provided positive data, while ultrasound it did in 67,6 %, 45,3 % of diagnostic endoscopic retrograde cholangiopancreatography was occupied by the tumor of the pancreas, sphincterotomy and stenting were performed and the prevailing pancreatitis as a complication. Conclusions: biliopancreatic malignant tumors are more frequent in bigger than 70 years and in men. The neoplasias of the head of the pancreas is more those inside this group and the endoscopic retrograde cholangiopancreatography constitutes the main study for the diagnosis and palliative treatment of these affections, with few complications associated
Keywords : CHOLANGIOPANCREATOGRAPHY, ENDOSCOPIC RETROGRADE; PANCREATIC NEOPLASMS [diagnosis]; PANCREATIC NEOPLASMS [therapy]; BILE DUCT NEOPLASMS; SPHINCTEROTOMY, ENDOSCOPIO; EPIDEMIOLOGY, DESCRIPTIVE; AGED.
