Endoprótesis biliar en el manejo transitorio de la coledocolitiasis
Background: Endoscopic extraction of biliary tract stones is safe and effective. When the procedure is not successful, the use of a temporary stent can be a solution. Aim: To prospectively analyze the usefulness of endoscopic biliary stents in the temporary management of biliary obstruction due to c...
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Sociedad Médica de Santiago
2006
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oai:scielo:S0034-988720060006000072006-08-14Endoprótesis biliar en el manejo transitorio de la coledocolitiasisAnselmi M,MarioAcuña C,Juan CarlosValle M,Ana DelGemmato P,Ana María Cholangitis Gallstones, common bile duct Stents Background: Endoscopic extraction of biliary tract stones is safe and effective. When the procedure is not successful, the use of a temporary stent can be a solution. Aim: To prospectively analyze the usefulness of endoscopic biliary stents in the temporary management of biliary obstruction due to choledocholithiasis. Material and methods: Analysis of 51 consecutive patients (age range 21-88 years, 34 females) with common bile duct stones that, from January 1999 to December 2001, were subjected to an endoscopic insertion of a biliary stent. Results: The indications for stent placement were a large stone in 40 patients (78%), the insecurity of a complete biliary tract cleaning in eight (16%) and technical difficulties in three (6%). Twenty seven patients (52.9%) were jaundiced and 17 (33.3%) had cholangitis. The prostheses remained in place until definitive resolution of the choledocholithiasis in 47 patients (92%) and migrated in 4 (8%). Bilirubin levels became normal in all cases with jaundice and infection resolved in all those with cholangitis. The definitive treatment of choledocholithiasis was done endoscopically in 28 patients (58%) and surgically in 20 (42%). Three patients were lost from follow up. Of these, one patient (2%) died 14 months later due to a recurrent cholangitis. The remaining two patients were asymptomatic and with the prostheses still in place 522 and 560 days post stent placement. Conclusions: When the immediate endoscopic resolution of choledocholithiasis is not possible, temporary stenting is a simple and safe therapeutic alternative that allows patients to be free of obstructive complications until the definitive treatment is carried outinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.134 n.6 20062006-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000600007es10.4067/S0034-98872006000600007 |
institution |
Scielo Chile |
collection |
Scielo Chile |
language |
Spanish / Castilian |
topic |
Cholangitis Gallstones, common bile duct Stents |
spellingShingle |
Cholangitis Gallstones, common bile duct Stents Anselmi M,Mario Acuña C,Juan Carlos Valle M,Ana Del Gemmato P,Ana María Endoprótesis biliar en el manejo transitorio de la coledocolitiasis |
description |
Background: Endoscopic extraction of biliary tract stones is safe and effective. When the procedure is not successful, the use of a temporary stent can be a solution. Aim: To prospectively analyze the usefulness of endoscopic biliary stents in the temporary management of biliary obstruction due to choledocholithiasis. Material and methods: Analysis of 51 consecutive patients (age range 21-88 years, 34 females) with common bile duct stones that, from January 1999 to December 2001, were subjected to an endoscopic insertion of a biliary stent. Results: The indications for stent placement were a large stone in 40 patients (78%), the insecurity of a complete biliary tract cleaning in eight (16%) and technical difficulties in three (6%). Twenty seven patients (52.9%) were jaundiced and 17 (33.3%) had cholangitis. The prostheses remained in place until definitive resolution of the choledocholithiasis in 47 patients (92%) and migrated in 4 (8%). Bilirubin levels became normal in all cases with jaundice and infection resolved in all those with cholangitis. The definitive treatment of choledocholithiasis was done endoscopically in 28 patients (58%) and surgically in 20 (42%). Three patients were lost from follow up. Of these, one patient (2%) died 14 months later due to a recurrent cholangitis. The remaining two patients were asymptomatic and with the prostheses still in place 522 and 560 days post stent placement. Conclusions: When the immediate endoscopic resolution of choledocholithiasis is not possible, temporary stenting is a simple and safe therapeutic alternative that allows patients to be free of obstructive complications until the definitive treatment is carried out |
author |
Anselmi M,Mario Acuña C,Juan Carlos Valle M,Ana Del Gemmato P,Ana María |
author_facet |
Anselmi M,Mario Acuña C,Juan Carlos Valle M,Ana Del Gemmato P,Ana María |
author_sort |
Anselmi M,Mario |
title |
Endoprótesis biliar en el manejo transitorio de la coledocolitiasis |
title_short |
Endoprótesis biliar en el manejo transitorio de la coledocolitiasis |
title_full |
Endoprótesis biliar en el manejo transitorio de la coledocolitiasis |
title_fullStr |
Endoprótesis biliar en el manejo transitorio de la coledocolitiasis |
title_full_unstemmed |
Endoprótesis biliar en el manejo transitorio de la coledocolitiasis |
title_sort |
endoprótesis biliar en el manejo transitorio de la coledocolitiasis |
publisher |
Sociedad Médica de Santiago |
publishDate |
2006 |
url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000600007 |
work_keys_str_mv |
AT anselmimmario endoprotesisbiliarenelmanejotransitoriodelacoledocolitiasis AT acunacjuancarlos endoprotesisbiliarenelmanejotransitoriodelacoledocolitiasis AT vallemanadel endoprotesisbiliarenelmanejotransitoriodelacoledocolitiasis AT gemmatopanamaria endoprotesisbiliarenelmanejotransitoriodelacoledocolitiasis |
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1718436265127313408 |