[Clinical-radiological characteristics and explore the association between therapeutic success in patients undergoing ERCP and age in Cayetano Heredia Hospital, Lima, Peru].
نویسندگان
چکیده
OBJECTIVE To compare the clinical-radiological characteristics and explore the association between therapeutic success in patients undergoing ERCP and age in Cayetano Heredia Hospital, Lima, Peru. MATERIALS AND METHODS Retrospective, descriptive study based on the review of records of patients undergoing ERCP between the years 2008 to 2014. These were divided into two groups: greater than or equal to 60 years (group 1) and less than 60 years (group 2). Indications of ERCP, radiological finding, therapeutic success, diagnostic and complications were documented. RESULTS A total of 450 patients were studied, the group 1 consisting of 164 and group 2 of 286 patients. The most frequent indication for ERCP in both groups was choledocholithiasis. The most common radiological finding in both groups was bile duct dilatation (p=0.155). The most common diagnosis was choledocholithiasis in both groups, predominantly in group 2. We achieved a complete cleaning of the bile duct in 185(78.75%) patients with choledocholithiasis, finding more patients in group 2 (p=0.008) (OR=0.46; CI 95%: 0.25-0.87). The most frequent complication was pancreatitis in both groups (p=0.01). CONCLUSIONS Choledocholithiasis and pancreatitis were the diagnosis and the most frequent complication. We found that the therapeutic success in patients who presented choledocholithiasis is associated with an age less than 60 years.
منابع مشابه
Peruvian Mental Health Reform: A Framework for Scaling-up Mental Health Services
Background Mental, neurological, and substance (MNS) use disorders are a leading cause of disability worldwide; specifically in Peru, MNS affect 1 in 5 persons. However, the great majority of people suffering from these disorders do not access care, thereby making necessary the improvement of existing conditions including a major rearranging of current health system structures beyond care deliv...
متن کاملCorruption in Health Systems: The Conversation Has Started, Now Time to Continue it; Comment on “We Need to Talk About Corruption in Health Systems”
Holistic and multi-disciplinary responses should be prioritized given the depth and breadth through which corruption in the healthcare sector can cover. Here, taking the Peruvian context as an example, we will reflect on the issue of corruption in health systems, including corruption with roots within and outside the health sector, and ongoing efforts to combat it. Our ...
متن کاملThe Role of Medical Students in the Fight to Control Neglected Tropical Diseases: A View from Peru
1 Scientific Society of Medical Students (‘‘SOCEMCH’’), ‘‘Alberto Hurtado’’ School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru, 2 School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru, 3 School of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru, 4 Department of Medical Education and Biomedical Informatics, School of Medicine, U...
متن کاملEnvironmental temperature, cholera, and acute diarrhoea in adults in Lima, Peru.
The effects of environmental temperature, presence and severity of El Niño, presence of cholera in the community, and interactions among these variables on the number of adult diarrhoeal patients attending the Hospital Nacional Cayetano Heredia in Lima, Peru, during 1991-1998, were evaluated. During 1991-1996, an increased number of visits to the hospital due to acute diarrhoea in the warmer mo...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru
دوره 35 2 شماره
صفحات -
تاریخ انتشار 2015