ID | 30805 |
JaLCDOI | |
FullText URL | |
Author |
Matsuoka, Junji
Kojima, Kazushi
Kurose, Masao
Takai, Kenichi
Gochi, Akira
Kamikawa, Yasuaki
Tanaka, Noriaki
Orita, Kunzo
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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
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Amo Type | Article
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Publication Title |
Acta Medica Okayama
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Published Date | 1997-02
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Volume | volume51
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Issue | issue1
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Publisher | Okayama University Medical School
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Start Page | 51
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End Page | 54
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ISSN | 0386-300X
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NCID | AA00508441
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Content Type |
Journal Article
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language |
English
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File Version | publisher
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Refereed |
True
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PubMed ID | |
Web of Science KeyUT |