masterThesis
Coledocolitiasis gigante, factores predictores de éxito, fracaso del manejo endosópico. Hospital de la Samaritana 2009-2011
Fecha
2013Autor
Pinto Carta, Renzo
Institución
Resumen
Choledocholithiasis prevalence is 10 to 20%.
10-20% have giant choledocholithiasis, presence of stones larger than 15 mm, increasing morbidity and mortality from complications.
The primary objective was to determine the frequency of giant choledocholithiasis, the presence of predictors of success or failure of endoscopic management.
Successful endoscopic management is between 80 and 90%, 20% require surgery biliary exploration.
Search was performed using the instrument for the collection of information. We performed univariate and bivariate analysis of the measured variables and use STATA version 10.
As a main result, we found that the frequency of giant choledocholithiasis in our population was 10%, the endoscopic management success was 89.23% and the strongest predictor for success was the diameter of the stones, stones being higher for less of 19.09 mm.
In conclusion, in our study, the frequency of choledocholithiasis giant is close to the known world literature. Endoscopic treatment in our study is the mainstay in these cases, with probability of success in management that is equal to the one published in global studies, it is likely that the stone size greater than 19 mm in diameter indicates higher rate of failure and advanced endoscopic techniques requirement for success.
Studies are needed with larger numbers of patients to determine the statistical validity of these results.