Endoscopic retrograde cholangiopancreatography in the diagnosis and treatment of choledocholithiasis

Abstract

In order to describe the use of endoscopic retrograde cholangiopancreatography in the diagnosis and therapeutic management of cholelithiasis, an observational, descriptive and traverse study was conducted in gastroenterology services of Arnaldo Milián Castro surgical clinical teaching hospital of Villa Clara and Gustavo Lima Aldereguía of Cienfuegos, in patients older than 18 years who underwent the endoscopic technique during the years 2011 to 2014. It was worked with the total population comprised by125 patients with confirmed diagnosis of cholelithiasis in study period. The age group most affected was of 61-70 years (29 patients) and female (77 people). The the jaundice (67 cases) was the predominant clinical condition that prompted the study. Secondary choledocholithiasis prevailed in 51 cases, achieving an effective therapy in 72 patients. The main cause of treatment failure of proceeding was of lithiasis of more than 1.5 cm in biliary tract (28 patients). The secondary bleeding to sphincterotomy occurred in only 5 cases.

Keywords

• pancreatocolangiografía retrógrada endoscópica
• coledocolitiasis