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ID 30805
JaLCDOI
フルテキストURL
著者
Matsuoka, Junji Okayama University
Kojima, Kazushi Okayama University
Kurose, Masao Okayama University
Takai, Kenichi Okayama University
Gochi, Akira Okayama University
Kamikawa, Yasuaki Okayama University
Tanaka, Noriaki Okayama University
Orita, Kunzo Okayama University
抄録

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.

キーワード
endoscopic sphincterotomy
percutaneous transhepatic cholangio-drainage
bile duct drainage
Amo Type
Article
発行日
1997-02
出版物タイトル
Acta Medica Okayama
51巻
1号
出版者
Okayama University Medical School
開始ページ
51
終了ページ
54
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
論文のバージョン
publisher
査読
有り
PubMed ID
Web of Sience KeyUT