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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Autores principales: Anselmi M,Mario, Acuña C,Juan Carlos, Valle M,Ana Del, Gemmato P,Ana María
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2006
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000600007
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spelling 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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