2016, Number 2
Characterization of patients with bile duct tumors by endoscopic retrograde cholangiopancreatography
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ABSTRACTIntroduction: neoplasms of the biliary tract are rare and are associated with high mortality and poor prognosis. It ranks fifth among gastrointestinal cancers after stomach, colon, rectum and esophagus. In Cuba there is an increase in the diagnosis of this entity.
Objective: to characterize the clinical and endoscopic bile duct tumors of patients.
Methods: a retrospective descriptive study in patients was conducted endoscopic retrograde cholangiopancreatography were performed in the CIMEQ Hospital between January 2006 and December 2014. To conduct the study were reviewed all reports of endoscopic retrograde cholangiopancreatography and sociodemographic variables (age and sex), clinical data so that the procedure is performed, endoscopic diagnosis and endoscopic treatment performed type are determined.
Results: 830 proceedings of endoscopic retrograde cholangiopancreatography where bile duct tumor was diagnosed in 73 (8.8 %) patients and ampullary in 40 (4.8 %) patients, predominant age group between 60 and 69 years to 31,0 % were performed , the female was present in 57.8% of patients, as the main clinical data that motivated the indication of proceeding was the jaundice syndrome was present in 76.7 % of patients and placement stent was the most used endoscopic therapy in 80.2 % of cases.
Conclusion: patients were predominantly female and the sixth decade of life, the level of the common tumor was more frequent liver, endoscopic retrograde cholangiopancreatography played the leading role in the diagnosis and palliative treatment of this patient group.
Hurtado de Mendoza J, Fuentes A, Montero T, Álvarez R, Coello RA. Cáncer en Cuba. Evaluación de la calidad de los diagnósticos premortem. según el Sistema Automatizado de Registro y Control en Anatomía Patológica. Rev Cubana Med 2004 [citado 15 Ene 2016];43(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 75232004000100005&lng=es&nrm=iso&tlng=es