Abstract

RAMIREZ, Pablo; SAMANIEGO, Castor  and  ORTIZ VILLALBA, Jesús M. Litiasis de la vía biliar principal: resultados del tratamiento quirúrgico y de la papilotomía endoscópica: Common bile duct lithiasis. Results of surgical treatment and endoscopic papilotomy. Rev. Cir. Parag. [online]. 2014, vol.38, n.1, pp.8-11. ISSN 2307-0420.

ABSTRACT Background: The potential coexistence of stones in the bile duct while in the gallbladder are on the order of 10 to 20%; treatment is important to prevent the complications of ductal obstruction -jaundice and cholangitis- and acute pancreatitis. The different treatment modalities seek to minimize complications at the time of maximum essentially determined by the complete removal of stones in the ducts effectively. Objective: To evaluate complications and / or residual calculi in patients with gall stones Road, treated surgically - choledochotomy - or endoscopically ( sphincterotomy ), controlled for 1 year. Patients and Methods: A retrospective cohort study analytical; Group A= 50 patients operated with an average age of 48 years and Group B= 50 patients with endoscopic treatment, with a mean age of 49 years. VBP diameter was 12.5 and 11.4 mm in the respective groups, and calculate the diameter of 18 and 9.2 mm, respectively. Were evaluated: length of stay, complications and final resolution of the stone, as assessed by a 1-year follow-up. Results: Complications were found in 10% and 18% in groups A and B, respectively; procedure time post hospitalization were 7.2 and 3.6 days. Treatment success was 96 and 80% respectively. Conclusions: The advantages of EE are limited to a shorter hospitalization time but with greater frequency of complications.

Keywords : Choledocholithiasis bile duct.; Choledochotomy.; Endoscopic sphincterotomy..

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