Abstract

PINEDA OVALLE, Luis Fernando et al. The endoscopic intraoperative papilotomy (EIP) vs. endoscopic conventional papilotomy (ECP) for treating the choledocholitiasis. Rev Col Gastroenterol [online]. 2007, vol.22, n.4, pp.272-282. ISSN 0120-9957.

BACKGROUND: The endoscopic intraoperative papilotomy (EIP) performed during laparoscopic Cholecistectomy (LC) is an alternative endoscopic procedure for treating the choledocholithiasis but there are not studies that compare their results with endoscopic conventional papilotomy (ECP), performed during the CPRE. OBJECTIVES: To compare the effectiveness and the complications rate between EIP and ECP in patients with choledocholithiasis. METHODS: This is a retrospective study that compare two groups of patients with choledocholithiasis: group A, patients treated with EIP; and group B, patients treated with ECP. The sample was taken from all intraoperative cholangiographies and all ERCP performed between december 2005 and december 2006. The mains endpoints were: Successful cannulation of the bile duct, clearing of the choledocholitiasis and complications related with the procedure. RESULTS: A total of 178 patients were included: Group A 76 and group B 102. There was not significant difference between both groups in age, gender and chronic conconmitant diseases. The successful cannulation was achived in 100% of group A versus 87.25% of group B (p < 0.01). The incidence of pancreatitis was 0 in group A versus 6 (5.88%) in the group B (p < 0.03). There was not significant difference in the clearing of bile duct. CONCLUSION: The EIP is a safe and effective intervention in order to treat the choledocholithias and present less incidence of pancreatitis than the ECP.

Keywords : Intraoperative Endoscopic Sphincterotomy; Choledocholithiasis; Laparoscopic cholecystectomy; Pancreatitis.

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