RESUMO
INTRODUCCIÓN: La colocación de sondas de nutrición enteral puede requerir apoyo endoscópico.OBJETIVO: Analizar la utilidad de la endoscopia ultrafinatransnasal en este aspecto.PACIENTES Y MÉTODOS: Estudio ambispectivo de todos lospacientes a los que se les ha realizado esta técnica (4,9 mm) en 2007.RESULTADOS: Se realizaron exploraciones en 26 pacientescon una edad de 69,3 ± 13 años. Se utilizó anestesia tópica nasal en 23 (88,4%) pacientes, midazolam en 8 exploraciones (30,8%) y ninguna en 4 (15,3%). Las indicaciones fueron las siguientes: lesiones estenosantes esofágicas (42,3%), colocación distal a una afección (46,1%) e imposibilidad de colocación de forma habitual (11,5%). Se colocaron 13 (50%) nasoduodenales, 7 (29,6%) nasogástricas y 6 (23,1%) nasoyeyunales. Se obtuvo un 100% de resultados positivos. El calibre de sonda más empleado fue de 12 F. No se apreciaroncomplicaciones.CONCLUSIONES: La endoscopia ultrafina se ha utilizado en la aplicación de sonda nasoenteral de forma exitosa, segura y con relativa facilidad en este tipo de pacientes
BACKGROUND: Placement of nasoenteral feeding tubes canrequire endoscopic support.AIM: To analyze the usefulness of transnasal ultrathin endoscopy in the placement of nasoenteral feeding tubes.PATIENTS AND METHODS: We performed an ambispectivestudy of all patients who underwent nasoenteral feeding (4.9 mm) in 2007.RESULTS: Twenty-six procedures were performed. The meanage of the patients was 69.3 ± 13 years. Nasal anesthesia was used in 23 patients (88.4%), and midazolam in 8 (30.8%). No anesthesia was used in 4 patients (15.3%). Indications: stenotic esophageal lesions (42.3%), distal placement to thepathological alteration (46.1%), and failure of placement through the normal route (11.5%). We placed 13 (50%) nasoduodenal, 7 (29.6%) nasogastric and 6 (23.1%) nasojejunal tubes. The success rate was 100%. The most frequently used calibre was 12 F. There were no complications.CONCLUSIONS: The use of transnasal ultrathin endoscopy inthe placement of nasoenteral feeding tubes in our patients was safe, effective and relatively easy
Assuntos
Humanos , Masculino , Feminino , Idoso , Nutrição Enteral/instrumentação , Nutrição Enteral/métodos , Endoscopia/métodos , Cavidade NasalRESUMO
BACKGROUND: There is scant information on the use of endoscopic retrograde cholangiopancreatography (ERCP) in patients under 18. OBJECTIVE: To analyze our experience in all patients under 18 who underwent ERCP. PATIENTS AND METHODS: We performed a retrospective study of all ERCP conducted in patients under 18 between 1993 and 2006. We analyzed indications, endoscopic and radiologic findings, diagnostic and therapeutic success, and complications. RESULTS: We included 31 patients who underwent 36 ERCP in total. The mean age was 9.89 +/- 5 years old. We used general anesthesia in 58.3% (21 patients), with a mean age of 8 +/- 5 years. The most frequent indications were complications after liver transplantation in 33.3% (12 patients), suspicion of biliary obstruction in 27.7% (10 patients), and pancreatitis in 22.2% (8 patients). We achieved cannulation and repletion in the selected duct in 94.4%. The most frequent pathologic findings were changes in the biliary tract after liver transplantation in 25% (9 patients). The results of ERCP were normal in 10 patients (27.7%). Therapeutic maneuvers were indicated in 17 out of the 34 (50%) examinations considered, achieving therapeutic success in 76.47% (13/17). Complications consisted of hemorrhage after simple sphincterotomy in one patient (2.8%) and mild pancreatitis in two patients (5.6%). CONCLUSIONS: We found ERCP to be a safe procedure with a high diagnostic and therapeutic success rate, and a low rate of early complications.
