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ID 30805
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Author
Matsuoka, Junji
Kojima, Kazushi
Kurose, Masao
Takai, Kenichi
Gochi, Akira
Kamikawa, Yasuaki
Tanaka, Noriaki
Orita, Kunzo
Abstract

We report a method of endoscopic retrograde sphincterotomy in patients in whom the optimal viewing of the papilla of Vater is hardly obtained. Percutaneous transhepatic cholangiodrainage (PTCD)-tube is placed under ultrasonographic guidance. PTCD-tube coming out of the papilla of Vater is observed by the endoscope and the guide wire inside the shpincterotome is inserted into the PTCD-tube. Sphincterotome is advanced into the common bile duct by the guidance of the guide wire and PTCD-tube. Sphincterotomy is performed in a usual fashion. Two patients with previous history of gastrectomy underwent this procedure with successful results. This method should be tried when usual method of EST is difficult and unsuccessful.

Keywords
endoscopic sphincterotomy
percutaneous transhepatic cholangio-drainage
bile duct drainage
Amo Type
Article
Published Date
1997-02
Publication Title
Acta Medica Okayama
Volume
volume51
Issue
issue1
Publisher
Okayama University Medical School
Start Page
51
End Page
54
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
File Version
publisher
Refereed
True
PubMed ID
Web of Sience KeyUT