Evaluación de la eficacia de la colangiopancreatografía retrógada endoscópica en la obstrucción de la via biliar. Hospital Regional 2 IESS Dr. Teodoro Maldonado Carbo 2009-2010
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2012
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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La obstrucción de vía biliar representa el 12% de la población adulta occidental, su prevalencia es mayor en la mujer (2:1). En Ecuador no se conoce exactamente su incidencia, se estima que de 10 a 15% de la población general manifiesta síntomas relacionados con esta enfermedad, que ha sido tratada de manera convencional con exploración de la vía biliar pero con el avance de la ciencia la Colangiopancreatografía retrógrada endoscópica ha demostrado mejores resultados. Los objetivos del presente estudio fueron: evaluar la eficacia de la Colangiopancreatografía retrógrada endoscópica en la obstrucción de la vía biliar, analizando los resultados de dicho procedimiento para determinar sus ventajas y desventajas en relación con el tratamiento quirúrgico convencional y sus complicaciones. El tipo de investigación fue descriptiva de diseño No experimental Longitudinal-retrospectiva. Se revisó 100 expedientes clínicos de los pacientes atendidos con esta patología en el hospital regional 2 del IESS “Dr. Teodoro Maldonado Carbo” desde el 1 de enero del 2009 al 31 de diciembre del 2010. Se demostró que la coledocolitiasis (78%) fue la patología más frecuente en la obstrucción de la vía biliar; con predominio en el sexo femenino (57%), entre los 50 a 69 años con una media de 59 años. Se realizó esfinterotomía más extracción de cálculos en un 70% del total y se obtuvo un 6% de complicación, siendo la oclusión de la vía biliar la más frecuente (3%). Con los resultados obtenidos, se comprobó que la Colangiopancreatografía retrograda endoscópica fue una excelente alternativa para la resolución de las diversas patologías obstructivas de la vía biliar con menor morbimortalidad que la cirugía convencional por su alta eficacia (94%) y su evolución clínica quirúrgica satisfactoria
Obstruction of bile duct represents 12% of the adult Western population, its prevalence is higher in women (2: 1). In Ecuador is not exactly known its incidence, it is estimated that 10 to 15% of the general population manifested symptoms related to this disease, which has been treated by conventional means with exploration of the bile ducts but with the advance of science the endoscopic retrograde cholangiopancreatography has shown the best results. The objectives of this study were: to evaluate the efficacy of Endoscopic Retrograde Cholangiopancreatography in bile duct obstruction, analyzing the results of this procedure to determine its advantages and disadvantages in relation to conventional surgical treatment and its complications. The research was descriptive and experimental design is not Longitudinal-retrospective. Reviewed 100 medical files of patients with this pathology in the regional hospital 2 of the IESS "Dr. Teodoro Maldonado Carbo" since the January 1 2009 the December 31 of 2010. It was shown that choledocholithiasis (78%) was the most frequent pathology in the obstruction of the bile duct, with predominance in females (57%), between 50 to 69 years with a mean of 59 years. Sphincterotomy was performed more stone extraction in 70% of the total and earned a 6% complication, with occlusion of the most common bile duct (3%). With these results, it was found that endoscopic retrograde cholangiopancreatography was an excellent alternative for the resolution of the various diseases of the biliary obstructive less morbidity than conventional surgery for high efficiency (94%) and satisfactory surgical clinical course
Obstruction of bile duct represents 12% of the adult Western population, its prevalence is higher in women (2: 1). In Ecuador is not exactly known its incidence, it is estimated that 10 to 15% of the general population manifested symptoms related to this disease, which has been treated by conventional means with exploration of the bile ducts but with the advance of science the endoscopic retrograde cholangiopancreatography has shown the best results. The objectives of this study were: to evaluate the efficacy of Endoscopic Retrograde Cholangiopancreatography in bile duct obstruction, analyzing the results of this procedure to determine its advantages and disadvantages in relation to conventional surgical treatment and its complications. The research was descriptive and experimental design is not Longitudinal-retrospective. Reviewed 100 medical files of patients with this pathology in the regional hospital 2 of the IESS "Dr. Teodoro Maldonado Carbo" since the January 1 2009 the December 31 of 2010. It was shown that choledocholithiasis (78%) was the most frequent pathology in the obstruction of the bile duct, with predominance in females (57%), between 50 to 69 years with a mean of 59 years. Sphincterotomy was performed more stone extraction in 70% of the total and earned a 6% complication, with occlusion of the most common bile duct (3%). With these results, it was found that endoscopic retrograde cholangiopancreatography was an excellent alternative for the resolution of the various diseases of the biliary obstructive less morbidity than conventional surgery for high efficiency (94%) and satisfactory surgical clinical course
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OBSTRUCCION DE VIAS BILIARES, COLANGIOPANCREATOGRAFIA RETROGRADA ENDOSCOPICA, EPIDEMIOLOGIA DESCRIPTIVA, ESTUDIOS RETROSPECTIVOS, HOSPITAL DE ESPECIALIDADES DR. TEODORO MALDONADO CARBO, CANTON GUAYAQUIL, ECUADOR