[Transduodenoscopic cholangiopancreatography. A retrospective analysis of 400 cases].
This study represents a retrospective evaluation of 400 ERCP procedures which were done during a lapse from january 1982 to december 1989. It carries out purpose to demonstrate its diagnostic usefulness. Duodenal papilla was suitable cannulated with success in 94.8% with a failure in 5.2%. Specific visualization of desired duct was obtained in 90.5%. Main indication of the method was to elucidate differential diagnosis of jaundice. When biliary duct was cannulated and opacified with success, most important finding was lithiasic disease (37.9%). Pancreatic duct was cannulated, but 69.6% corresponded to normal opacification, in pancreatic pathology, malignant disease was in first scale detected (11.3%). Index of complications was 3.8% of total studies. Minor complications were predominant. Overall mortality was 0.5%. In fact, clinical diagnosis corroborated in 306 cases, sensibility was 99%, specificity 89%, diagnostic exactness 96% with positive predictive value of 96% and negative of 98%.
Güitrón Cantú
J A
JA
Departamento de Endoscopia Gastro-intestinal, Hospital de especialidades No. 71 IMSS. Torreón Coahuila.
Adalid Martínez
R
R
Silva
V A
VA
Gómez-Mejía
A
A
Juárez
F
F
D000293:Adolescent; D000328:Adult; D000368:Aged; D001649:Bile Duct Diseases / Q000175:diagnosis; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects; D002769:Cholelithiasis / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000175:diagnosis; D012189:Retrospective Studies
Colangio-pancreatografía transduodenoscópica (CPTD). Un análisis retrospectivo de 400 casos.