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ISSN 1995-9494 (Electronic)
Revista del Hospital Clínico Quirúrgico "Arnaldo Milián Castro"

2020, Number 1

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Acta Med Cent 2020; 14 (1)

Resultados en el diagnóstico y el tratamiento de la coledocolitiasis

Morales MI, Molina LO, Echavarría FDR

Language: Portugu?s
References: 11
Page: 120-125
PDF size: 161.57 Kb.


ABSTRACT

Introduction: choledocholithiasis has been pointed out as the main use of endoscopic retrograde cholangiopancreatography since its introduction by McCune in 1968; following the development of laparoscopic surgery its diagnostic and therapeutic potential boosted. Objective: to describe the use of endoscopic retrograde cholangiopancreatography in the diagnosis and treatment of choledocholithiasis. Method: an observational, descriptive study was conducted in patients aged 18 years and older who had the procedure performed between March 2017 and January 2019; the medical records of patients with a confirmed diagnosis of choledocholithiasis were reviewed. Results: the most affected age group was from 51 to 60 years of age, with a predominance of females. Jaundice was the main clinical condition (25 patients, 53.19%). Secondary choledocyan lithiasis predominated (19, 40.42%). Therapeutic effectiveness was achieved in 85.11% of cases; the main cause of failure was lithiasis greater than 1.5 cm. Conclusions: cholangiopancreatography was effective in most of the cases diagnosed with choledocholithiasis in which secondary choledocyan lithiasis prevailed as the possible origin of the condition and in which there was greater involvement of the female sex and the 51-60 age group, with jaundice as the most frequent clinical condition.


REFERENCES

  1. Aguilar Rivera JE, Navarro Coto JF. Manejo laparoscópico de coledocolitiasis. Revista Clínica de la Escuela de Medicina UCR – HSJD [Internet]. 2017 [citado 21 Oct 2018];7(3):11-21. Disponible en: https://www.medigraphic.com/pdfs/revcliescmed/ucr-2017/ucr173e.pdf. https://doi.org/10.15517/rc_ucr-hsjd.v7i3.30016

  2. Aleán Argueta LF, Ramírez Toncel SM, Cifuentes Sandoval SF, Izquierdo Gracia DF, Vergara Gómez JM. Complicaciones secundarias a colelitiasis y su manejo: Puntos fundamentales para el diagnóstico. Rev Colomb Radiol [Internet]. 2017 [citado 21 Oct 2018];28(3):4717-24. Disponible en: http://contenido.acronline.org/Publicaciones/RCR/RCR28-3/03_Complicaciones.pdf

  3. Barreras González JE. La colangiopancreatografía retrógrada con esfinterotomía endoscópica intraoperatoria como modalidad de tratamiento para la colédocolitiasis [tesis doctoral]. La Habana: Universidad de Ciencias Médicas; 2012 [citado 21 Oct 2018]. Disponible en: tesis.sld.cu/index.php?P=DownloadFile&Id=127

  4. Chao González L, Barroso Márquez L, Tusen Toledo Y, Valenzuela Aguilera KY, Hernández Iglesias Z, Mesa González M. Cirugía endoscópica biliopancreática. Resultado de 10 años en el CIMEQ. Invest Medicoquir [Internet]. 2015 Ene-Jun [citado 21 Oct 2018];7(1):91-110. Disponible en: http://www.revcimeq.sld.cu/index.php/imq/article/view/308/393

  5. Barreras González JE. Litiasis biliar. En: Paniagua Estévez ME, Piñol Jiménez FN. Gastroenterología y hepatología. La Habana: Editorial Ciencias Médicas; 2015 [citado 21 Oct 2018]. Disponible en: http://www.bvs.sld.cu/libros/gastroenterologia_hepatologia_tomo8/gastroenterolo gia_hepatologia_tomo8_cap180.pdf

  6. Jarrell BE, Carabasi A. National Medical Series for independent study (NMS). Surgery. 5th ed. Lippincott Williams & Wilkins; 2015.

  7. Oddsdottir M, Pham TH, Hunter JG. Gallbladder and extrahepatic biliary system. In: Brunicardi FC, editor. Schwartz's Principles of Surgery. 9th ed. United States of America: McGraw-Hill Education; 2015. p. 821-844.

  8. Ramos Contreras JY, Martínez Leyva L, Infante Velázquez M, de la Rosa Ortega M, Almenares García Z, Brizuela Quintanilla R. Utilidad de la colangiopancreatografía retrógrada endoscópica para tratar la litiasis de la vía biliar principal. Rev Cub Med Mil [Internet]. 2012 Dic [citado 21 Oct 2018];41(4):361-369. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572012000400006

  9. Barreto Suárez E, Soler Porro LL, Sugrañes Montalván A. Coledocolitiasis: diagnóstico y terapéutica mediante la colangiopancreatografía retrógrada endoscópica. AMC [Internet]. 2010 Dic [citado 21 Oct 2018];14(6):1-10. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025- 02552010000600007&lng=es

  10. Morales Martínez I, Vázquez González P, Pozo del Sol MC, Fernández Aguilar ME, Marchena Pérez EM, Reyes Vera JM. Colangiopancreatografía retrógrada endoscópica en el diagnóstico y el tratamiento de la coledocolitiasis. Acta Méd Centro [Internet]. 2015 [citado 21 Oct 2018];9(2):[aprox. 5 p.]. Disponible en: http://www.revactamedicacentro.sld.cu/index.php/amc/article/view/255/407

  11. Hoyuela C, Cugat E, Marco C. Opciones actuales para el diagnóstico y tratamiento de la coledocolitiasis. Cir Española [Internet]. 2000 Sep [citado 21 Oct 2018];68(3):243-253. Disponible en: https://www.elsevier.es/es-revista-cirugiaespanola- 36-articulo-opciones-actuales-el-diagnostico-tratamiento-12517




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