Factors associated to complications of endoscopic retrograde cholangiopancreatography in a third-level hospital

Authors

  • Angel Quispe-Mauricio Unité de formation et de Recherche en Sciences de la Vie, Université Pierre et Marie Curie (Paris 6). París, francia. Faculté de Médicine Paris-Sud, Université Paris-Sud (Paris 11). París, francia. Sociedad Científica de San fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú. Médico cirujano. Candidato a Magíster en Ciencias en Biología Celular y Molecular.
  • Wilmer Sierra-Cahuata Servicio de Gastroenterología, Hospital Nacional Carlos Seguín Escobedo, EsSalud. Arequipa, Perú. Médico cirujano. Médico gastroenterólogo.
  • David Callacondo Departamento de Microbiología, Universidad Peruana Cayetano Heredia, Lima, Perú. Laboratorios de Investigación y Desarrollo, facultad de Ciencias y filosofía, Universidad Peruana Cayetano Heredia. Lima, Perú. Médico cirujano.
  • Juan Torreblanca-Nava Servicio de Gastroenterología, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud. Lima, Perú. Médico cirujano. Médico gastroenterólogo.

DOI:

https://doi.org/10.17843/rpmesp.2010.272.1465

Keywords:

Cholangiopancreatography, endoscopic retrograde, Complications, Pancreatitis, Hemorrhage, Catheterization

Abstract

Endoscopic treatment of the bile duct diseases is possible thanks to the ERCP (endoscopic retrograde cholangio pancreatography), nevertheless, it is not free of complications. Objectives. To describe the characteristics and indications of the ERCP and determine the factors associated to the development of complications after performing the procedure. Materials and methods. An observational retrospective study was done in the Gastroenterology Department of the Hospital Guillermo Almenara Irigoyen in Lima, Peru, from March 2002 to June 2005. Results. 294 registers on 280 patients were evaluated, the median age was 58 and 155 (52.7%) were women, five procedures we done in the intensive care unit (ICU). The most frequent indication was choledochus litiasis in 67.3% cases. 205 (69.7%) procedures were successful, only 33 presented complications. The most frequent complications were acute pancreatitis and hemorrhage, in 16 and 13 patients respectively. There were no cases of perforation or death. Pancreatic duct cannulation more than once was an associated factor (OR=2.01; 95%CI: 1.11-5.92; p=0.03). Conclusions. 11.2% of cases presented complications, being acute pancreatitis and mild hemorrhage the most frequent complications. Only pancreatic duct cannulation more than once is an associated factor for having complications.

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Published

2010-06-25

Issue

Section

Research Articles

How to Cite

1.
Quispe-Mauricio A, Sierra-Cahuata W, Callacondo D, Torreblanca-Nava J. Factors associated to complications of endoscopic retrograde cholangiopancreatography in a third-level hospital. Rev Peru Med Exp Salud Publica [Internet]. 2010 Jun. 25 [cited 2024 Dec. 9];27(2). Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/1465

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