%0 Journal Article
%T Technical difficulties and success of endoscopic retrograde colangiopancreatography in a group of patients Dificultad t¨¦cnica y ¨¦xito de la colecistopancreatograf¨ªa retr¨®grada endosc¨®pica en un grupo de pacientes
%A Pedro Juan V¨¢zquez Gonz¨¢lez
%A Marcos F¨¦lix Osorio Pagola
%A Gustavo Becerra Ter¨®n
%A Mayelin Gonz¨¢lez P¨¦rez
%J MediSur
%D 2011
%I Centro Provincial de Informaci¨®n de las Ciencias M¨¦dicas en Cienfuegos
%X Background: Endoscopic Retrograde Cholangiopancreatography has been effective in the diagnosis and treatment of diseases of the biliopancreatic system. Objective: To determine the grade of technical difficulties and the success of cholangiopancreatography in a group of patients. Methods: prospective, descriptive, observational study that included all the patients who were tested through this procedure from January to December 2009 in the hospital ¡°Dr. Gustavo Alderegu¨ªa Lima¡± from Cienfuegos. Inclusion and exclusion criteria were applied so the sample was composed by 34 patients. In order to define the technical difficulty of this test Madhotra¡¯s difficulty modified test was used. Results: 67,6 % of the patients were males. Age comprised the interval from 31 to 90 years old patients with a mean age of 60.8¡À16 years. Cholestatic icterus was the predominant medical indication in (55,9 %), followed by choledocholitiasis (26,5 %). Echogram showed normal results in 41,2 % of the patients. The most frequent diagnosis of this test was postcholecystectomy with dilated biliary tract (17,6 %) followed by choledocho and cholelithiasis (14,7 % each one). The grade of technical difficulty was 1 in 91,2 %, grade 2 in 8,8 %. A complete technical success was obtained in 55,9 %, partial success was obtained in 32,3 % and the attempt failed in 11,8 % of the patients. Conclusion: the grade of technical difficulty can influence upon the success of Endoscopic Retrograde Cholangiopancreatography. Its usefulness has been demonstrated with a minimum amount of complications for the patient. Fundamento: la colangiopancreatograf¨ªa retr¨®grada endosc¨®pica resulta eficaz para el diagn¨®stico y tratamiento de enfermedades del sistema biliopancre¨¢tico. Objetivo: determinar el grado de dificultad t¨¦cnica y el ¨¦xito de la colangiopancreatograf¨ªa en un grupo de pacientes. M¨¦todos: estudio observacional, descriptivo y prospectivo que incluy¨® a todos los pacientes que fueron sometidos a esta t¨¦cnica en los meses de enero a diciembre del 2009 en el hospital ¡°Dr. Gustavo Alderegu¨ªa Lima¡± de Cienfuegos. Se aplicaron criterios de inclusi¨®n y exclusi¨®n por lo que qued¨® constituida la muestra por 34 pacientes. Para definir la dificultad t¨¦cnica de la prueba se emplea la escala modificada de dificultad, propuesta por Madhotra y cols. Resultados: el 67,6 % de pacientes fue del sexo masculino. La edad estuvo en un intervalo de 31 a 90 a os con una edad promedio de 60,8¡À16 a os. La ictericia colest¨¢sica no filiada fue la indicaci¨®n m¨¦dica que predomin¨®, (55,9 %) seguida de la coledocolitiasis (26,5 %
%K Colangiograf¨ªa
%K p¨¢ncreas
%K pancreatocolangiograf¨ªa
%U http://www.medisur.sld.cu/index.php/medisur/article/view/1020