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ISSN 1665-2576 (Impreso)

2003, Número 4

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Rev Mex Cir Endoscop 2003; 4 (4)


Tratamiento endoscópico de las estenosis biliares posquirúrgicas: Experiencia de 13 años

Rendón CE, Pérez BB, Gómez CX, Mora LG, González-Angulo RA, López AME, Rodríguez VG

Idioma: Español
Referencias bibliográficas: 50
Paginas: 184-190
Archivo PDF: 793.43 Kb.


RESUMEN

Introducción: Las estenosis biliares posquirúrgicas suelen ocurrir después de una colecistectomía laparoscópica con o sin exploración de la vía biliar en un 0.2 a 0.5%. Con el tratamiento endoscópico mediante la colocación de endoprótesis biliares se obtiene un éxito de resolución de la estenosis mayor al 85%. Objetivos: Demostrar la seguridad y la eficacia del procedimiento endoscópico en las estenosis posquirúrgicas de la vía biliar e identificar los tipos de lesión de la vía biliar. Material y métodos: El presente es un estudio descriptivo, retrospectivo y transversal que incluyó la revisión de expedientes de pacientes con diagnóstico de estenosis biliares posquirúrgicas en el periodo comprendido de marzo de 1990 a julio de 2003. Resultados: Se incluyeron 143 pacientes con diagnóstico de estenosis de la vía biliar: 56 hombres y 87 mujeres, con una edad promedio de 40 años; los tipos de lesiones fueron Bismuth I = 33 pacientes, Bismuth II = 48 pacientes, Bismuth III = 62 pacientes. El 26.5% de los pacientes completaron el protocolo de 2 años; de éstos, en 32 se resolvió la estenosis. Complicaciones: hemorragia = 1, pancreatitis = 2, colangitis = 2 y migración = 6. Conclusión: La colocación de endoprótesis biliares es el tratamiento de elección en las estenosis biliares posquirúrgicas.


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