Quality assessment of the endoscopic retrograde cholangiopancreatography at the Teaching Clinical surgical Hospital Comandante Faustino Pérez Hernández

Abstract

Fundament:it is responsibility of the endoscopists to guarantee carrying out quality procedures, based on the parameters defined by the different endoscopic societies around the world.
Objective: to evaluate the quality of health care of patients to whom an endoscopic retrograde cholangiopancreatography was carried out in the Hospital Faustino Pérez Hernández.
Methods: a research evaluating the quality of the endoscopic retrograde cholangiopancreatography was carried out, describing the results of the procedures performed in patients whom it was indicated in the Teaching Clinical Surgical Hospital Comandante Faustino Pérez Hernández, of Matanzas, in the period from February 23th 2010 to February 23th 2012. Applying the inclusion and exclusion criteria, the studied population was formed by 159 patients. As variables we analyzed quality indicators: procedure indications, frequency of cannulation in intact papilla, technical success in extracting prosthesis calculi, and technical success in putting distal and proximal prostheses.
Results: the main procedure indication was based on clinical, enzymatic and imaging criteria. It was achieved an effectiveness of the desired duct cannulation of 93, 71 %. The therapeutic effectiveness in extraction choledocian lithiasis was 80,76 % in the first attempt. The biliary duct through prosthesis in distal stenosis was achieved in 90.9 % of the patient and in 40 % of the proximal stenosis cases. There were complications in 7.45 % of the cases and mortality was 1.8 %.
Conclusions: during the studied period the patients received health care with good quality parameters.