Research Article
Volume 9 Issue 6 - 2022
Endoscopical Retrograde Cholangiopancreatography. A Big Success? Multicentre Study in México

Mara Luz Terán Estrella1, Morelos Adolfo García Sánchez2*, Mireya De La Fuente González3, Ramón Armando Sánchez Tamayo4, Pamela Navarro Hernández5, Oscar Manuel Cedillo Torres6, Miguel Fernando Juárez Moyrón1, Imelda Yasmín Palma Cortés1, Antonio Tonatiuh Uribe Wittingham1, Cristián Andrés González Vargas1, Ana Fernanda Aburto Mariano1, Mauricio Israel Flores Pazos1, Juan David Martínez Gómez1,Oliver Guillen Diego1, Carlos Arturo Martínez Martínez1, Beatriz Huiyu Li Gómez1 and Ángel Flores Montiel1

1General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, Mexico City, Mexico

2Colonic and Rectal Surgeon and General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, Mexico City, Mexico

3General Surgeon, Surgical Department at “Dr. Gaudencio González Garza” General Hospital Specialized Medical Unit, “La Raza”, National Medical Center, Mexican Social Security Institute, National Autonomous University of Mexico, Mexico City, Mexico

4Internist, Cardiology and Hemodynamist, Internal Medicine Service, Naucalpan General Hospital ISEM, National Autonomous University of Mexico, Mexico City, Mexico

5General Surgeon and Gastrointestinal Endoscopist, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, Mexico City, Mexico

6General Surgeon and Gastrointestinal Endoscopist, Surgical Department at General Hospital “Xoco”, Secretary of Health of Mexico City, National Autonomous University of Mexico, Mexico City, Mexico

*Corresponding Author: Morelos Adolfo García Sánchez, Colonic and Rectal Surgeon and General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, Mexico City, Mexico.
Received: May 23, 2022; Published: June 13, 2022




Abstract

Introduction: Endoscopic Retrograde Cholangiopancreatography is defined as a specialized medical procedure that combines technical elements of gastrointestinal endoscopy with radiological technical elements, in diagnostic and treatment scenarios, of diseases of the digestive system at the level of the biliary tract and pancreas, allowing visualization of the bile ducts and pancreatic ducts.

Method: It is a study with retrospective, longitudinal, comparative, observational and descriptive design. The presentation of the results is carried out through descriptive biostatistical procedures, through which the census data of works and studies compiled from all the patients who underwent Endoscopic Retrograde Cholangiopancreatography due to biliary pathology and/or pancreas in the endoscopy services of nine hospitals of second and third level of health care in Mexico.

Results: There were a total of 2,272 patients, of whom 1,362 were women (60%) and 910 men (40%). With an age range of 17 to 90 years, with an average of 44 years of age, at a bimodal value of 38 and 46 years. A number of failed Endoscopic Retrograde Cholangiopancreatographies is described in 153 representing 7%. On the other hand, in 180 patients (8%) post-procedure complications were reported. Despite what was previously described, success in the diagnostic-therapeutic objective is reported, in a range of 88 to 98% and an average of 94%.

Conclusion: Endoscopic Retrograde Cholangiopancreatography is currently a very successful pillar in the diagnosis and treatment of pancreatobiliary diseases, with minimal morbidity, as well as mortality; (Thanks to the advancement of medical technology, this study is positioned, significantly, above surgical procedures of yesteryear and obsolete techniques, in the context of pancreatobiliary disease, in terms of diagnosis and treatment.

 

Keywords: Endoscopic Retrograde Cholangiopancreatography; Procedure. Endoscopy; Biliary Pathology; Pancreatic Pathology

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Citation: Morelos Adolfo García Sánchez., et al. “Endoscopical Retrograde Cholangiopancreatography. A Big Success? Multicentre Study in México”. EC Gastroenterology and Digestive System 9.7 (2022): 11-25.

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