Endoscopic Sphincterotomy Assisted by Percutaneous Tanshepatic Choledochal Tube: A Preliminary Report

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

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)51-54
Number of pages4
JournalActa medica Okayama
Volume51
Issue number1
Publication statusPublished - Feb 1 1997

Keywords

  • Bile duct drainage
  • Endoscopiec sphincterotomy
  • Percutaneous transhepatic cholangio-drainage

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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  • Cite this

    Matsuoka, J., Kojima, K., Kurose, M., Takai, K., Gochi, A., Kamikawa, Y., Tanaka, N., & Orita, K. (1997). Endoscopic Sphincterotomy Assisted by Percutaneous Tanshepatic Choledochal Tube: A Preliminary Report. Acta medica Okayama, 51(1), 51-54.