Colangiopancreatografia retrógrada endoscópica por coledocolitíase no Hospital Universitário Walter Cantídio-UFC : avaliação de 56 casos
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , |
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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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 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
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) |
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UFC |
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UFC |
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Repositório Institucional da Universidade Federal do Ceará (UFC) |
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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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1813028892648144896 |