Hallazgos endoscópicos de la papila de vater en colangio-pancreatografía-retrógrada-endoscópica en el Servicio de Gastroenterología del Hospital Luis Vernaza del año 2010 – 2014
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
La Colangio-Pancreatografía-Retrógada Endoscópica (CPRE) es una herramienta tanto diagnóstica como terapéutica para el sistema biliopancreático, sin embargo dentro de las revisiones bibliográficas no se han encontrado investigaciones que describan la papila de Vater y sus correlaciones con hallazgos patológicos. El objetivo de este estudio es observar cuál es el hallazgo más frecuente de la papila de Vater. Se realizó un estudio observacional, descriptivo, retrospectivo, transversal de los pacientes del servicio de gastroenterología del Hospital Luis Vernaza en el período de 2010 a 2014, usando una muestra calculada de 202 pacientes. De estos se realizaron CPRE con mayor frecuencia a mayores de 45 años edad, representando el 54.5%, y el 62% de las CPRE fueron en mujeres. El motivo de solicitud de CPRE más frecuente fue el Síndrome ictérico en el 52.5%. Sin embargo dentro de los hallazgos endoscópicos se encontró una papila de Vater sin anomalía en un 49.5%. Cabe destacar que el 77.2% de los pacientes que solicitaron CPRE no presentaban tratamiento previo de colecistectomía. En los diagnósticos finales relacionados al hallazgo papilar, hubo una mayor frecuencia de coledocolitiasis con el 62.87%. La localización anatómica de la papila de Vater, más frecuente fue segunda porción del duodeno en el 99.5%. Se demostró, tanto en la papila de Vater sin anomalía como en la papila edematosa se presentaron coledocolitiasis.
Endoscopic- Retrograde -Cholangio- Pancreatography (ERCP) is a diagnostic and therapeutic tool for the biliopancreatic system, however in literature reviews have not found research that describes the papilla of Vater and their correlation with pathologic findings. The aim of this study is to observe what is the most frequent finding of the papilla of Vater. An observational, descriptive, retrospective, cross-sectional study of patients in the department of gastroenterology of Luis Vernaza Hospital performed in the period of 2010-2014, calculated using a sample of 202 patients. Of these ERCP is performed more frequently over 45 years old, accounting for 54.5%, and 62% of ERCP were women. The reason for more frequent application of ERCP was the jaundice syndrome in 52.5%. However within the endoscopic findings of a papilla Vater no anomaly he was found in 49.5%. Significantly, 77.2% of patients had not requested ERCP pretreatment cholecystectomy. In the final diagnoses related to papillary finding, there was a higher frequency of choledocholithiasis with 62.87%. The anatomical location of the papilla of Vater, most frequent was second portion of the duodenum in 99.5%. It was demonstrated, both in the papilla of Vater without abnormality and edematous papilla presented choledocholithiasis.
Endoscopic- Retrograde -Cholangio- Pancreatography (ERCP) is a diagnostic and therapeutic tool for the biliopancreatic system, however in literature reviews have not found research that describes the papilla of Vater and their correlation with pathologic findings. The aim of this study is to observe what is the most frequent finding of the papilla of Vater. An observational, descriptive, retrospective, cross-sectional study of patients in the department of gastroenterology of Luis Vernaza Hospital performed in the period of 2010-2014, calculated using a sample of 202 patients. Of these ERCP is performed more frequently over 45 years old, accounting for 54.5%, and 62% of ERCP were women. The reason for more frequent application of ERCP was the jaundice syndrome in 52.5%. However within the endoscopic findings of a papilla Vater no anomaly he was found in 49.5%. Significantly, 77.2% of patients had not requested ERCP pretreatment cholecystectomy. In the final diagnoses related to papillary finding, there was a higher frequency of choledocholithiasis with 62.87%. The anatomical location of the papilla of Vater, most frequent was second portion of the duodenum in 99.5%. It was demonstrated, both in the papilla of Vater without abnormality and edematous papilla presented choledocholithiasis.
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Epidemiología descriptiva, Estudios retrospectivos, Coledocolitiasis, Hospital Luis Vernaza, Cantón Guayaquil, Ecuador, Colangiopancreatografia retrógrada endoscópica, Ampolla hepatopancreática