ABSTRACT
BACKGROUND: The retained bile duct stones with distant fistulous tract has been treated by the transfistular route as the first line of treatment since the publications of Dr Mazzariello. Several techniques have been developed and several studies have been published, but little has been assessed about the relationship between complications and differences in extraction techniques. OBJECTIVE: This study aimed to determine the percentage of therapeutic success and determine which variables influence the occurrence of complications. METHODS: Retrospective, observational, descriptive and comparative study. RESULTS: We included in the study 59 patients with residual bile duct stones. The treatment success rate in our sample was 96.6% [95% confidence interval (95% CI) 88.2- 99.6%]. The complication rate was 10% (95% CI 4%-21%). These complications were mild, being the highest magnitude STROC III A (abscess of the peri-fistular tract). There was not mortality during the development of research. Statistically significant differences were found in the number of sessions required to achieve therapeutic success and in the occurrence of complications. The remaining variables did not show differences. The age and the amount of stones needed a larger sample size to show statistical differences. CONCLUSIONS: Our series showed results and complication rates similar to other national and international series. There was no relationship between the different techniques and the complications.
Subject(s)
Cholangiopancreatography, Endoscopic Retrograde/methods , Gallstones/surgery , Adolescent , Adult , Aged , Aged, 80 and over , Cholangiopancreatography, Endoscopic Retrograde/adverse effects , Female , Humans , Male , Middle Aged , Postoperative Complications , Recurrence , Retrospective Studies , Risk Factors , Treatment Outcome , Young AdultABSTRACT
BACKGROUND: The retained bile duct stones with distant fistulous tract has been treated by the transfistular route as the first line of treatment since the publications of Dr Mazzariello. Several techniques have been developed and several studies have been published, but little has been assessed about the relationship between complications and differences in extraction techniques. OBJECTIVE: This study aimed to determine the percentage of therapeutic success and determine which variables influence the occurrence of complications. METHODS: Retrospective, observational, descriptive and comparative study. RESULTS: We included in the study 59 patients with residual bile duct stones. The treatment success rate in our sample was 96.6
). These complications were mild, being the highest magnitude STROC III A (abscess of the peri-fistular tract). There was not mortality during the development of research. Statistically significant differences were found in the number of sessions required to achieve therapeutic success and in the occurrence of complications. The remaining variables did not show differences. The age and the amount of stones needed a larger sample size to show statistical differences. CONCLUSIONS: Our series showed results and complication rates similar to other national and international series. There was no relationship between the different techniques and the complications.
Subject(s)
Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Young Adult , Gallstones/surgery , Cholangiopancreatography, Endoscopic Retrograde/methods , Postoperative Complications , Recurrence , Retrospective Studies , Risk Factors , Cholangiopancreatography, Endoscopic Retrograde/adverse effects , Treatment OutcomeABSTRACT
BACKGROUND: The retained bile duct stones with distant fistulous tract has been treated by the transfistular route as the first line of treatment since the publications of Dr Mazzariello. Several techniques have been developed and several studies have been published, but little has been assessed about the relationship between complications and differences in extraction techniques. OBJECTIVE: This study aimed to determine the percentage of therapeutic success and determine which variables influence the occurrence of complications. METHODS: Retrospective, observational, descriptive and comparative study. RESULTS: We included in the study 59 patients with residual bile duct stones. The treatment success rate in our sample was 96.6
[95
confidence interval (95
CI) 88.2- 99.6
]. The complication rate was 10
(95
CI 4
-21
). These complications were mild, being the highest magnitude STROC III A (abscess of the peri-fistular tract). There was not mortality during the development of research. Statistically significant differences were found in the number of sessions required to achieve therapeutic success and in the occurrence of complications. The remaining variables did not show differences. The age and the amount of stones needed a larger sample size to show statistical differences. CONCLUSIONS: Our series showed results and complication rates similar to other national and international series. There was no relationship between the different techniques and the complications.
ABSTRACT
Se presenta una serie de 5 casos de obstrucción recidivante de intestino delgado provocada por procesos adherenciales (por secuelas inflamatorias y uno congénito). Se efectúa una revisión de los métodos convencionales y se demuestra los buenos resultados obtenidos con la enteroptiquia utilizando adhesivo quirúrgico, considerando el método de preferencia
Subject(s)
Humans , Male , Female , Middle Aged , Adult , Intestinal Obstruction/surgery , Adhesives/therapeutic use , Cyanoacrylates/therapeutic use , Tissue Adhesions/prevention & control , Reoperation , IntestinesABSTRACT
Se presenta una serie de 5 casos de obstrucción recidivante de intestino delgado provocada por procesos adherenciales (por secuelas inflamatorias y uno congénito). Se efectúa una revisión de los métodos convencionales y se demuestra los buenos resultados obtenidos con la enteroptiquia utilizando adhesivo quirúrgico, considerando el método de preferencia
Subject(s)
Humans , Male , Female , Middle Aged , Adult , Adhesives/therapeutic use , Cyanoacrylates/therapeutic use , Intestinal Obstruction/surgery , Intestines , Reoperation , Tissue Adhesions/prevention & controlABSTRACT
Se presentan 130 casos tratados en los últimos 5 años (1979 a 1984). No se consideran enfermos de guardia. Del total de casos, hubo 72 del sexo masculino (55,38%), y 58 del sexo femenino (44,61%); el de menor edad de 16 años y el de mayor de 92, con un promedio de 38 años. Las 2/3 partes de los íleos se encuentran en pacientes entre los 40 y los 70 años de edad. El tiempo de evolución de los síntomas es entre 24 horas y 10 días. Distensión abdominal y timpanismo se hallan en el 100% de los pacientes. Los autores dan mucha importancia a la existencia de íleos segmentarios, que se operan en todos los casos (AU)
Subject(s)
Adolescent , Adult , Middle Aged , Aged , Humans , Male , Female , Intestinal Obstruction/surgery , Intestinal Obstruction/diagnosisABSTRACT
Se presentan 130 casos tratados en los últimos 5 años (1979 a 1984). No se consideran enfermos de guardia. Del total de casos, hubo 72 del sexo masculino (55,38%), y 58 del sexo femenino (44,61%); el de menor edad de 16 años y el de mayor de 92, con un promedio de 38 años. Las 2/3 partes de los íleos se encuentran en pacientes entre los 40 y los 70 años de edad. El tiempo de evolución de los síntomas es entre 24 horas y 10 días. Distensión abdominal y timpanismo se hallan en el 100% de los pacientes. Los autores dan mucha importancia a la existencia de íleos segmentarios, que se operan en todos los casos
