Eficacia y complicaciones de la técnica de doble guía durante la canulación de la vía biliar principal
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Fecha de publicación
2017-09Palabras clave
Pancreatocolangiografía retrógrada endoscópicaCanulación
Complicaciones
Cholangiopancreatography, endoscopic retrograde
Cannulation
Complications
xmlui.metadata.dc.contributor.email
[email protected]
Metadatos
Mostrar el registro completo del ítemOtros títulos
Efficacy and complications of double guidewire technique in biliary tract cannulationCitation
uzmán-Calderón E, Vera A, Díaz R, Alva E, Arcana R. Eficacia y complicaciones de la técnica de doble guía durante la canulación de la vía biliar principal. Rev Gastroenterol Peru. 2017;37(3):235-9Resumen
Objective: To determine the efficacy and safety of double guidewire technique in patients with difficult biliary cannulation during ERCP. Materials and methods: We conducted a retrospective cohort study of all ERCPs performed between January 2015 and July 2016. DGT was performed in patients for whom biliary cannulation was difficult and guidewire insertion into the pancreatic duct (PD) was inadvertently achieved while attempting the standard WGC technique. Results: 24 patients were enrolled with ERCP and DGT; 17 were female (70.8%) and 7 male (29.2%). The average age was 65.21±16.49 years. The most frequent indication was choledocholithiasis (62.5%), then cholangiocarcinoma (12.5%). Post ERCP diagnosis was choledocholithiasis (45.8%), and papillary fibrosis (29.2%). The success of DGT was 87.5%. Three cases of failure cannulation with the DGT were reported, two patients had pancreatitis post ERCP (8.3%), there were no cases of perforations. Conclusions: TDG, is an effective alternative to difficult biliary cannulation during ERCP with conventional methods; with a high success rate and low rate of post ERCP pancreatitis, similarly to reported in other countries.Tipo
info:eu-repo/semantics/articleDerechos
info:eu-repo/semantics/openAccessIdioma
spaISSN
1022-5129Colecciones
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