Complicaciones de la colangiopancreatografía retrógrada endoscópica en coledocolitiasis. Hospital Carlos Andrade Marín, 2021
ABSTRACT Introduction: Endoscopic Retrograde Cholangiopancreatography (ERCP) is a procedure given by the combination of fluoroscopy and endoscopy that allows us to identify the presence of either tumor, stones, or, in turn, areas of stenosis of the ducts that drain at the level of both the gallbladd...
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| Natura: | bachelorThesis |
| Lingua: | spa |
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2022
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| Accesso online: | http://dspace.unach.edu.ec/handle/51000/9498 |
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Aggiungi Tag | Riassunto: | ABSTRACT Introduction: Endoscopic Retrograde Cholangiopancreatography (ERCP) is a procedure given by the combination of fluoroscopy and endoscopy that allows us to identify the presence of either tumor, stones, or, in turn, areas of stenosis of the ducts that drain at the level of both the gallbladder, liver, and pancreas; It is considered an important minimally invasive tool to manage those diseases located at the biliary and pancreatic level. Choledocholithiasis represents the existence of stones at the level of the bile ducts and may or may not be accompanied by symptoms such as colic-like pain, jaundice, and even choluria. Generally, endoscopic retrograde cholangiopancreatography (ERCP) is the most widely used treatment. ERCP, being the method of choice for the treatment of patients with choledocholithiasis, has presented a success rate of 85% and 90% in the cases described. General Objective: To determine the main complications after performing endoscopic retrograde cholangiopancreatography in patients with choledocholithiasis in the Gastroenterology technical unit of Carlos Andrade Marín Hospital, period 2021. Material and methods: Descriptive, retrospective, and cross-sectional, in a population of 53 patients with choledocholithiasis undergoing endoscopic retrograde cholangiopancreatography who were admitted to the technical gastroenterology unit of the Hospital de Especialidades Carlos Andrade Marín (HECAM) during the period January 2021-December 2021. The data were collected and analyzed through the use of tables and graphs in conjunction with the Excel program (2013), in the same way, the information found is based on the medical records extracted from the AS400 IESS HECAM 2021 system. Results: According to the data obtained in the investigation, it is observed that, of all the patients, 100% (n53) with choledocholithiasis that were forced with ERCP, 47,1% are between 30-64 years old, 64,2% are female patients, 62,3% are self-identified as mestizo patients; while 26,4% are indigenous patients; In addition, 35,8% have a personal pathological history of diabetes mellitus, 41,5% are menopausal patients; 88,7% correspond to patients with a previous diagnosis of choledocholithiasis. Finally, 7,5% presented pancreatitis as the main complication after endoscopic retrograde cholangiopancreatography (ERCP), whereas in turn, 62,3% showed abdominal pain as the main symptom. Conclusions: The main complications of ERCP are acute pancreatitis, hemorrhages, cholangitis, and perforations, however, they are closely related to the patient's risk factors. Keywords: choledocholithiasis, endoscopic retrograde cholangiopancreatography (ERCP), bile duct, pancreatitis Firmado electrónicamente por: NELLY ESTELA MOREANO OJEDA Reviewed by: Dra. Nelly Moreano ENGLISH PROFESSOR C.C. 1801807288 |
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