| ID | 30805 |
| JaLCDOI | |
| FullText URL | |
| 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
|
| Publication Title |
Acta Medica Okayama
|
| Published Date | 1997-02
|
| Volume | volume51
|
| Issue | issue1
|
| Publisher | Okayama University Medical School
|
| Start Page | 51
|
| End Page | 54
|
| ISSN | 0386-300X
|
| NCID | AA00508441
|
| Content Type |
Journal Article
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| language |
English
|
| File Version | publisher
|
| Refereed |
True
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| PubMed ID | |
| Web of Science KeyUT |