Sánchez Cerna Víctor, Alcántara Figueroa Christian, Reyes Mugruza Tania, Acorda Sifuentes Lisbeth, Valverde Huamán Miguel, Valdivia Roldán Mario, Várgas Cárdenas Gloria, Bravo de Rueda Corina Mayuri, Tito La Torre Rolando, Ramos Pacheco Jeimy, Chávez Rossell Miguel, Morán Tisoc Lucinda
Servicio de Gastroenterología, Hospital Nacional Arzobispo Loayza. Lima, Perú.
Rev Gastroenterol Peru. 2017 Oct-Dec;37(4):329-334.
Cholangioscopy is a test that allows the evaluation of the biliary epithelium. It is used for diagnosis and management of biliary diseases.
Determine the success rate of complete removal of difficult stones with the use of laser lithotripsy through cholangioscopy as well as its complications. Determine the visual impression accuracy of bile duct injuries.
This is a prospective and descriptive study. We included 39 patients between July 2016 and July 2017 with diagnosis of difficult stones in the biliary tract and indeterminate stenosis of the biliary tract that were submitted to cholangioscopy.
Success rate of complete removal of difficult stones was 65.3%, there was one complication. Two laser sessions were required in 4 of the 17 patients who obtained complete removal of the stones. The visual impression accuracy of lesions in the bile duct to determine malignancy coincided in all cases with the final diagnosis of the patient.
Laser lithotripsy allows a safe and effective treatment of the difficult stones of the bile duct. Precession of visual impression of lesions in the bile duct is very high.
胆管镜检查是一种可对胆管上皮进行评估的检查方法。它用于胆管疾病的诊断和治疗。
确定通过胆管镜使用激光碎石术完全清除困难结石的成功率及其并发症。确定胆管损伤的视觉印象准确性。
这是一项前瞻性描述性研究。我们纳入了2016年7月至2017年7月期间39例诊断为胆管困难结石和胆管不确定狭窄并接受胆管镜检查的患者。
困难结石完全清除的成功率为65.3%，有1例并发症。在17例结石完全清除的患者中，有4例需要进行两次激光治疗。胆管病变用于确定恶性肿瘤的视觉印象准确性在所有病例中均与患者的最终诊断一致。
激光碎石术可安全有效地治疗胆管困难结石。胆管病变视觉印象的准确性非常高。
