Effectiveness of endoscopic treatment in the management of choledocholithiasis in the servicio de endoscopía digestiva, Hospital Nacional de Itauguá during the period 2019-2021

Abstract

Artículo Original RESUMENIntroducción: La coledocolitiasis se refiere a todo cálculo alojado en la vía biliar principal. La forma más frecuente es la coledocolitiasis secundaria, debido al paso del cálculo desde la vesícula biliar al colédoco a través del conducto cístico. Objetivo: Determinar la efectividad del trata-

Experiencia en el tratamiento quirúrgico de la coledocolitiasis no resuelta por CPRE en el Hospital Nacional de Itauguá de enero a octubre de 2022

“…(13) Since its implementation, ERCP has become an excellent technique for the preoperative study of the bile duct, with diagnostic sensibility and specificness close to 100%; it allows, through a side view endoscope, to cannulate the papilla and to opacify the bile duct injecting contrast. In this study, ERCP proved to be effective in 84% of BDS patients; according to a study published by Franco López J in 2021, endoscopic treatment's effectiveness was of 79.2% (14) Regarding the average age of the patients submitted to surgery (50 years old), it is similar to the one found in literature and other performed studies at national level; the greater prevalence in the female gender also matches the greater frequency of bile lithiasis presentation on said gender, being considered a risk factor for said pathology. (1) Presurgical diagnosis were obstructive jaundice by BDS and acute cholangitis by BDS; with 61% and 39% respectively based on clinical and imagery criteria; according to an international study published in March of the current year performed in 1.001 patients, the most common ERCP indication was confirmed or suspected BDS in 52,6% of cases and cholangitis suspicion in 7.7% (15) .…”