Resumen

LANDAETA, J et al. Colangiopancreatografía retrógrada endoscópica: prácticas en un centro hospitalario privado. Gen [online]. 2010, vol.64, n.1, pp.14-18. ISSN 0016-3503.

Introduction: Endoscopic Retrograde Cholangiopancreatography (ERCP) is an advanced endoscopic procedure that allows the study and treatment of biliary and pancreatic ducts. This procedure requires a higher level of knowledge and technical skills, to ensure a minimal complications outcome of the patient. In our country there are few training centers for gastrointestinal specialists for developing the necessary skills for performing ERCP. Objectives: To asses the statistics of ERCP procedures that were performed in our private hospital between January 2005 until January 2009, to demonstrate that we possessed the high standars on capacitation, both theorical and practical on performing ERCP. Study Design: ItÊs a descriptive and retrospective study, including all patients that came to our center with pancreatic or billiary pathology and underwent the procedure. Results: 815 ERCP were performed during the time of the study, 486 (59.6%) were female and 329 (40, 36%) were male. The mean age was 53, 34 years, with range between 2 and 98 years, and 18 patients were younger than 12 years. The main indications for the procedure were cholestasis, billiary litiasis, acute and chronic pancreatitis. Also other indications were billiary fistulae, billiary prothesis placement and replacement, cholangitis and tumors of the pancreas and billiary ducts. The therapeutics procedures performed were sphinctectomy, ampullectomy, biopsy, billiary and pancreatic prothesis placement. In most of the cases the problem was solved. There were complications in 36 patients (4, 17%), the most common being bleeding 16 and post ERCP acute pancreatitis 7 there were no deaths attributed to the procedure. Conclusion: In our study we show that our statistics are well placed among the standards of any reported trainning center in the world, regarding number of procedures, indications for the procedure, findings, therapeutic procedures and a very low morbility/mortality rate. These results, obtained at a level IV medical center, aldo shows that we can easily became a trainning center on ERCP for gastroenterologist specialists

Palabras clave : ERCP; billiary and pancreatic pathology; training center.