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

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 journal › Article › peer-review

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 language	English
Pages (from-to)	51-54
Number of pages	4
Journal	Acta medica Okayama
Volume	51
Issue number	1
Publication status	Published - Feb 1 1997

Keywords

Bile duct drainage
Endoscopiec sphincterotomy
Percutaneous transhepatic cholangio-drainage

ASJC Scopus subject areas

Biochemistry, Genetics and Molecular Biology(all)

Cite this

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title = "Endoscopic Sphincterotomy Assisted by Percutaneous Tanshepatic Choledochal Tube: A Preliminary Report",

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 = "Bile duct drainage, Endoscopiec sphincterotomy, Percutaneous transhepatic cholangio-drainage",

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T2 - A Preliminary Report

AU - Matsuoka, Junji

AU - Kojima, Kazushi

AU - Kurose, Masao

AU - Takai, Kenichi

AU - Gochi, Akira

AU - Kamikawa, Yasuaki

AU - Tanaka, Noriaki

AU - Orita, Kunzo

PY - 1997/2/1

Y1 - 1997/2/1

N2 - 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.

AB - 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.

KW - Bile duct drainage

KW - Endoscopiec sphincterotomy

KW - Percutaneous transhepatic cholangio-drainage

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

Abstract

Keywords

ASJC Scopus subject areas

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