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Revista chilena de cirugía

versão On-line ISSN 0718-4026

Resumo

LOSADA M, HÉCTOR; SILVA A, JORGE  e  BURGOS S.J, LUIS. Experience with endoscopic retrograde colangiopancreatography in a regional hospital. Rev Chil Cir [online]. 2008, vol.60, n.1, pp.5-9. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262008000100003.

Background: Endoscopic retrograde cholangiopancreatography (ERCP) is a therapeutic procedure for biliary and pancreatic diseases. Aim: To describe technical issues, morbidity and mortality associated to ERCP, performed in a regional hospital from January 2005 to December 2006. Material and Methods: Review of 209 patients aged 15 to 98 years (157 women) subjected to ERCP for any diagnosis. Clinical, pharmacological, technical variables and clinical evolution were recorded. Results: Ninety four percent of procedures were performed in radiological facilities and 6% in operating room. Midazolam was the drug most commonly used for sedation in 93% of patients , followed by propofol in 4% and general anesthesia in 2%. The biliary tree was cannulated in 76% of the procedures. A precut was performed in 16% and a papillotomy in 51% of patients. Six patients had complications (bleeding in three, pancreatitis in one, retention of the Dormia basket and subcutaneous injection of contrast media in one). Conclusions: The rate of complications and mortality of these patients are comparable with national and international series

Palavras-chave : Endoscopio retrograde colangiography; biliary tract disease; complications.

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