Diagnostic and therapeutic cholangioscopy in biliary diseases: a prospective study in Peru

Autores/as

  • Victor Sanchez Cerna Servicio de Gastroenterología, Hospital Nacional Arzobispo Loayza. Lima, Perú.
  • Christian Alcántara Figueroa Servicio de Gastroenterología, Hospital Nacional Arzobispo Loayza. Lima, Perú.
  • Tania Reyes Mugruza Servicio de Gastroenterología, Hospital Nacional Arzobispo Loayza. Lima, Perú.
  • Lisbeth Acorda Sifuentes Servicio de Gastroenterología, Hospital Nacional Arzobispo Loayza. Lima, Perú.
  • Miguel Valverde Huamán Servicio de Gastroenterología, Hospital Nacional Arzobispo Loayza. Lima, Perú.
  • Mario Valdivia Roldán Servicio de Gastroenterología, Hospital Nacional Arzobispo Loayza. Lima, Perú.
  • Corina Mayuri Bravo de Rueda Servicio de Gastroenterología, Hospital Nacional Arzobispo Loayza. Lima, Perú.
  • Rolando Tito La Torre Servicio de Gastroenterología, Hospital Nacional Arzobispo Loayza. Lima, Perú.
  • Jeimy Ramos Pacheco Servicio de Gastroenterología, Hospital Nacional Arzobispo Loayza. Lima, Perú.
  • Miguel Chávez Rossell Servicio de Gastroenterología, Hospital Nacional Arzobispo Loayza. Lima, Perú.
  • Lucinda Morán Tisoc Servicio de Gastroenterología, Hospital Nacional Arzobispo Loayza. Lima, Perú.

DOI:

https://doi.org/10.47892/rgp.2017.374.836

Palabras clave:

Choledocholithiasis, Cholangiopancreatography, endoscopic retrograde, Lasers

Resumen

Introduction: Cholangioscopy is a test that allows the evaluation of the biliary epithelium. It is used for diagnosis and management of biliary diseases. Objectives: Determine the success rate of complete removal of difficult stones with the use of laser lithotripsy through cholangioscopy as well as its complications. Determine the visual impression accuracy of bile duct injuries. Materials and methods: This is a prospective and descriptive study. We included 39 patients between July 2016 and July 2017 with diagnosis of difficult stones in the biliary tract and indeterminate stenosis of the biliary tract that were submitted to cholangioscopy. Results: Success rate of complete removal of difficult stones was 65.3%, there was one complication. Two laser sessions were required in 4 of the 17 patients who obtained complete removal of the stones. The visual impression accuracy of lesions in the bile duct to determine malignancy coincided in all cases with the final diagnosis of the patient. Conclusions: Laser lithotripsy allows a safe and effective treatment of the difficult stones of the bile duct. Precession of visual impression of lesions in the bile duct is very high.

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Publicado

13.02.2018

Cómo citar

1.
Sanchez Cerna V, Alcántara Figueroa C, Reyes Mugruza T, Acorda Sifuentes L, Valverde Huamán M, Valdivia Roldán M, Bravo de Rueda CM, La Torre RT, Ramos Pacheco J, Chávez Rossell M, Morán Tisoc L. Diagnostic and therapeutic cholangioscopy in biliary diseases: a prospective study in Peru. Rev Gastroenterol Peru [nternet]. 13 de febrero de 2018 [citado 28 de marzo de 2024];37(4):329-34. isponible en: https://revistagastroperu.com/index.php/rgp/article/view/836

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