Colangiopancreatografia retrógrada endoscópica por coledocolitíase no Hospital Universitário Walter Cantídio-UFC : avaliação de 56 casos

Detalhes bibliográficos
Autor(a) principal: Matos, Diego da Costa
Data de Publicação: 2020
Outros Autores: Tavares, Paulo Roberto Veras, Benevides, Gustavo Melo, Costa, Leonardo José Sales da, Carneiro, Fred Olavo Andrade Aragão, Souza, Miguel Ângelo Nobre e, Souza, Marcellus Henrique Loiola Ponte de
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da Universidade Federal do Ceará (UFC)
Texto Completo: http://www.repositorio.ufc.br/handle/riufc/51541
Resumo: Choledocholithiasis is the most frequent cause of biliary obstruction commonly seen in gastroenterological practice. Objective: evaluate the rate and factors related to success and complications in patients with choledocholithiasis, referred or ERCP in HUWC- UFC. Methodology: Retrospective study of 56 patients submitted to 67 examinations for choledocholithiasis from 01/2017 to 04/2018. The information was taken from the Endoscopy unit medical records database. Success rates (complete withdrawal of calculus), complications (pancreatitis, hemorrhage and perforation), and factors related to these outcomes were analyzed. CEP: 43321014.6.0000.5045. Results: There was a predominance of women (80%), in their early 50 years old. The success rate was 89%. With surgical therapeutic complementation in 9%. 2% of the cases are still under follow-up. The most frequent complication was pancreatitis (7%), being (1) patient with evolution to death (1.8%) without perforations or bleeding. There was an association between the presence of large stones (p = 0.05) and bile duct disproportion (p = 0.01) with ERCP failure. There was no association of the factors evaluated, with the presence of complications. Conclusion: The study shows that there was a high success rate, as described in the literature. The presence of large stones and disproportion, factors related to ERCP failure.
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spelling Colangiopancreatografia retrógrada endoscópica por coledocolitíase no Hospital Universitário Walter Cantídio-UFC : avaliação de 56 casosEndoscopic retrograde cholangiopancreatography by coledocolitiase in the University Hospital Walter Cantidio–UFC : evaluation of 56 casesColedocolitíaseColangiopancreatografia Retrógrada EndoscópicaPancreatiteCholedocholithiasis is the most frequent cause of biliary obstruction commonly seen in gastroenterological practice. Objective: evaluate the rate and factors related to success and complications in patients with choledocholithiasis, referred or ERCP in HUWC- UFC. Methodology: Retrospective study of 56 patients submitted to 67 examinations for choledocholithiasis from 01/2017 to 04/2018. The information was taken from the Endoscopy unit medical records database. Success rates (complete withdrawal of calculus), complications (pancreatitis, hemorrhage and perforation), and factors related to these outcomes were analyzed. CEP: 43321014.6.0000.5045. Results: There was a predominance of women (80%), in their early 50 years old. The success rate was 89%. With surgical therapeutic complementation in 9%. 2% of the cases are still under follow-up. The most frequent complication was pancreatitis (7%), being (1) patient with evolution to death (1.8%) without perforations or bleeding. There was an association between the presence of large stones (p = 0.05) and bile duct disproportion (p = 0.01) with ERCP failure. There was no association of the factors evaluated, with the presence of complications. Conclusion: The study shows that there was a high success rate, as described in the literature. The presence of large stones and disproportion, factors related to ERCP failure.A coledocolitíase é a causa mais frequente de obstrução biliar comumente vista na prática gastroenterológica. Objetivo: avaliar taxa e fatores relacionados ao sucesso assim como complicações nos pacientes com coledocolitíase, encaminhados para CPRE no HUWC-UFC. Metodologia: Estudo retrospectivo de 56 pacientes submetidos a 67 CPREs por coledocolitíase de 01/2017 a 04/2018. As informações foram retiradas do banco de dados da unidade de Endoscopia e prontuários. Analisadas as taxas de sucesso (retirada completa dos cálculos), complicações (pancreatite, hemorragia e perfuração) e fatores relacionados a estes desfechos. CEP: 43321014.6.0000.5045. Resultados: Houve predominância de mulheres (80%), com idade média de 51 anos. A taxa sucesso foi 89%. Com complementação terapêutica cirúrgica em 9%. 2% dos casos, estão ainda em seguimento ambulatorial. A complicação mais frequente foi pancreatite (7%), sendo (1) paciente com evolução ao óbito (1,8%). Sem a existência de perfurações ou hemorragias. Houve associação entre a presença de cálculos grandes (p= 0.05) e desproporção da via biliar (p=0.01) com insucesso da CPRE. Não houve nenhuma associação dos fatores avaliados com a presença de complicações. Conclusão: O estudo demonstra que houve alta taxa de sucesso, como descrito na literatura, sendo a presença de cálculos grandes e desproporção fatores relacionados ao insucesso da CPRE.Revista de Medicina da UFC2020-05-04T18:57:23Z2020-05-04T18:57:23Z2020-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfMATOS, Diego da Costa et al. Colangiopancreatografia retrógrada endoscópica por coledocolitíase no Hospital Universitário Walter Cantídio–UFC : avaliação de 56 casos. Rev Med UFC., Fortaleza, v. 60, n. 1, p. 22-27, jan./mar. 20120.2447-6596http://www.repositorio.ufc.br/handle/riufc/51541Matos, Diego da CostaTavares, Paulo Roberto VerasBenevides, Gustavo MeloCosta, Leonardo José Sales daCarneiro, Fred Olavo Andrade AragãoSouza, Miguel Ângelo Nobre eSouza, Marcellus Henrique Loiola Ponte deporreponame:Repositório Institucional da Universidade Federal do Ceará (UFC)instname:Universidade Federal do Ceará (UFC)instacron:UFCinfo:eu-repo/semantics/openAccess2020-05-04T18:57:23Zoai:repositorio.ufc.br:riufc/51541Repositório InstitucionalPUBhttp://www.repositorio.ufc.br/ri-oai/requestbu@ufc.br || repositorio@ufc.bropendoar:2024-09-11T18:39:10.989702Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)false
dc.title.none.fl_str_mv Colangiopancreatografia retrógrada endoscópica por coledocolitíase no Hospital Universitário Walter Cantídio-UFC : avaliação de 56 casos
Endoscopic retrograde cholangiopancreatography by coledocolitiase in the University Hospital Walter Cantidio–UFC : evaluation of 56 cases
title Colangiopancreatografia retrógrada endoscópica por coledocolitíase no Hospital Universitário Walter Cantídio-UFC : avaliação de 56 casos
spellingShingle Colangiopancreatografia retrógrada endoscópica por coledocolitíase no Hospital Universitário Walter Cantídio-UFC : avaliação de 56 casos
Matos, Diego da Costa
Coledocolitíase
Colangiopancreatografia Retrógrada Endoscópica
Pancreatite
title_short Colangiopancreatografia retrógrada endoscópica por coledocolitíase no Hospital Universitário Walter Cantídio-UFC : avaliação de 56 casos
title_full Colangiopancreatografia retrógrada endoscópica por coledocolitíase no Hospital Universitário Walter Cantídio-UFC : avaliação de 56 casos
title_fullStr Colangiopancreatografia retrógrada endoscópica por coledocolitíase no Hospital Universitário Walter Cantídio-UFC : avaliação de 56 casos
title_full_unstemmed Colangiopancreatografia retrógrada endoscópica por coledocolitíase no Hospital Universitário Walter Cantídio-UFC : avaliação de 56 casos
title_sort Colangiopancreatografia retrógrada endoscópica por coledocolitíase no Hospital Universitário Walter Cantídio-UFC : avaliação de 56 casos
author Matos, Diego da Costa
author_facet Matos, Diego da Costa
Tavares, Paulo Roberto Veras
Benevides, Gustavo Melo
Costa, Leonardo José Sales da
Carneiro, Fred Olavo Andrade Aragão
Souza, Miguel Ângelo Nobre e
Souza, Marcellus Henrique Loiola Ponte de
author_role author
author2 Tavares, Paulo Roberto Veras
Benevides, Gustavo Melo
Costa, Leonardo José Sales da
Carneiro, Fred Olavo Andrade Aragão
Souza, Miguel Ângelo Nobre e
Souza, Marcellus Henrique Loiola Ponte de
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Matos, Diego da Costa
Tavares, Paulo Roberto Veras
Benevides, Gustavo Melo
Costa, Leonardo José Sales da
Carneiro, Fred Olavo Andrade Aragão
Souza, Miguel Ângelo Nobre e
Souza, Marcellus Henrique Loiola Ponte de
dc.subject.por.fl_str_mv Coledocolitíase
Colangiopancreatografia Retrógrada Endoscópica
Pancreatite
topic Coledocolitíase
Colangiopancreatografia Retrógrada Endoscópica
Pancreatite
description Choledocholithiasis is the most frequent cause of biliary obstruction commonly seen in gastroenterological practice. Objective: evaluate the rate and factors related to success and complications in patients with choledocholithiasis, referred or ERCP in HUWC- UFC. Methodology: Retrospective study of 56 patients submitted to 67 examinations for choledocholithiasis from 01/2017 to 04/2018. The information was taken from the Endoscopy unit medical records database. Success rates (complete withdrawal of calculus), complications (pancreatitis, hemorrhage and perforation), and factors related to these outcomes were analyzed. CEP: 43321014.6.0000.5045. Results: There was a predominance of women (80%), in their early 50 years old. The success rate was 89%. With surgical therapeutic complementation in 9%. 2% of the cases are still under follow-up. The most frequent complication was pancreatitis (7%), being (1) patient with evolution to death (1.8%) without perforations or bleeding. There was an association between the presence of large stones (p = 0.05) and bile duct disproportion (p = 0.01) with ERCP failure. There was no association of the factors evaluated, with the presence of complications. Conclusion: The study shows that there was a high success rate, as described in the literature. The presence of large stones and disproportion, factors related to ERCP failure.
publishDate 2020
dc.date.none.fl_str_mv 2020-05-04T18:57:23Z
2020-05-04T18:57:23Z
2020-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv MATOS, Diego da Costa et al. Colangiopancreatografia retrógrada endoscópica por coledocolitíase no Hospital Universitário Walter Cantídio–UFC : avaliação de 56 casos. Rev Med UFC., Fortaleza, v. 60, n. 1, p. 22-27, jan./mar. 20120.
2447-6596
http://www.repositorio.ufc.br/handle/riufc/51541
identifier_str_mv MATOS, Diego da Costa et al. Colangiopancreatografia retrógrada endoscópica por coledocolitíase no Hospital Universitário Walter Cantídio–UFC : avaliação de 56 casos. Rev Med UFC., Fortaleza, v. 60, n. 1, p. 22-27, jan./mar. 20120.
2447-6596
url http://www.repositorio.ufc.br/handle/riufc/51541
dc.language.iso.fl_str_mv por
language por
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dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Revista de Medicina da UFC
publisher.none.fl_str_mv Revista de Medicina da UFC
dc.source.none.fl_str_mv reponame:Repositório Institucional da Universidade Federal do Ceará (UFC)
instname:Universidade Federal do Ceará (UFC)
instacron:UFC
instname_str Universidade Federal do Ceará (UFC)
instacron_str UFC
institution UFC
reponame_str Repositório Institucional da Universidade Federal do Ceará (UFC)
collection Repositório Institucional da Universidade Federal do Ceará (UFC)
repository.name.fl_str_mv Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)
repository.mail.fl_str_mv bu@ufc.br || repositorio@ufc.br
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