Estenosis maligna y benigna de la vía biliar : experiencias del drenaje biliar percutáneo transparietohepático
Fecha
2023
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Antecedentes: El drenaje biliar transparietohepático (DTPH) es un procedimiento terapéutico,
temporal o definitivo, mediante el cual se cateteriza la vía biliar a través de una punción
percutánea, el uso de guías metálicas, dilatadores, catéteres, y generalmente es guiada por
ultrasonido, fluoroscopia o tomografía con la finalidad es descomprimirla, su indicación
principal es la imposibilidad de resolver la patología biliar por otros métodos
colangiopancreatografia retrógrada endoscópica (CPRE), tratar la vía biliar en anastomosis
bilioentéricas (estenosis), lesiones quirúrgicas, fibrosis posradioterapia, además de localización y
tratamiento de fístulas biliares o patología maligna.
Objetivos: Compilar los resultados obtenidos posteriores al tratamiento de drenaje biliar
percutáneo transparietohepático mediante la evolución clínica - radiológica determinando las
complicaciones en los pacientes con diagnóstico de estenosis maligna y benigna de la vía biliar
en el Hospital Luis Vernaza.
Material y Método: Estudio retrospectivo, analítico, de corte transversal, con muestreo no
probabilístico e intencional. Se procesará estadísticamente la casuística obtenida de la
combinación de pacientes atendidos en entre el 2018 al 2022, obteniendo asi la población del
estudio Resultados esperados: Se describirán el tipo de incidencia de la patología benigna como
maligna de la vía biliar, tipo de acceso y drenaje más utilizado, principales complicaciones y
relacionarla con la etiología de la estenosis
Background: Transparietohepatic biliary drainage (TPHD) is a therapeutic procedure, temporary or definitive, through which the bile duct is catheterized through a puncture, the use of metal guides, dilators and catheters, and is generally guided by ultrasound, fluoroscopy or tomography with the purpose of decompressing it, its main indication is the impossibility of resolving the biliary pathology by other methods endoscopic retrograde cholangiopancreatography (ERCP), treating the bile duct in biliary-enteric anastomoses (stenosis), surgical injuries, fibrosis post radiotherapy, in addition to localization and treatment of biliary fistulas or malignant pathology Objectives: To compile the results obtained after the transparietohepatic percutaneous biliary drainage treatment through the clinical-radiological evolution. determining the complications in patients diagnosed with malignant and benign stenosis of the bile duct at the Luis Vernaza Hospital. Method: Retrospective, analytical, cross-sectional study. with non-probabilistic and intentional sampling. The casuistry obtained from the combination of patients seen between 2018 and 2022 will be statistically processed, thus obtaining the study population Expected results: The type of incidence of benign and malignant pathology of the bile duct, which is the most used type of access and drainage, main complications and relate it to the etiology of the stenasis will be described.
Background: Transparietohepatic biliary drainage (TPHD) is a therapeutic procedure, temporary or definitive, through which the bile duct is catheterized through a puncture, the use of metal guides, dilators and catheters, and is generally guided by ultrasound, fluoroscopy or tomography with the purpose of decompressing it, its main indication is the impossibility of resolving the biliary pathology by other methods endoscopic retrograde cholangiopancreatography (ERCP), treating the bile duct in biliary-enteric anastomoses (stenosis), surgical injuries, fibrosis post radiotherapy, in addition to localization and treatment of biliary fistulas or malignant pathology Objectives: To compile the results obtained after the transparietohepatic percutaneous biliary drainage treatment through the clinical-radiological evolution. determining the complications in patients diagnosed with malignant and benign stenosis of the bile duct at the Luis Vernaza Hospital. Method: Retrospective, analytical, cross-sectional study. with non-probabilistic and intentional sampling. The casuistry obtained from the combination of patients seen between 2018 and 2022 will be statistically processed, thus obtaining the study population Expected results: The type of incidence of benign and malignant pathology of the bile duct, which is the most used type of access and drainage, main complications and relate it to the etiology of the stenasis will be described.
Descripción
PDF
Palabras clave
ESTENOSIS BILIAR, PATOLOGIA, ESTUDIOS RETROSPECTIVOS, HOSPITAL LUIS VERNAZA, CANTON GUAYAQUIL, ECUADOR, DRENAJE BILIAR