Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Percutaneous transhepatic sphincterotomy].

G Gandini1, E Zanon, D Righi

  • 1Istituto di Radiologia, Università, Torino.

La Radiologia Medica
|December 1, 1990
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Clinically equivocal melanocytic skin lesions with features of regression: a dermoscopic-pathological study.

The British journal of dermatology·2004
Same author

On the conversion coefficients for cosmic ray dosimetry.

Radiation protection dosimetry·2003
Same author

Preliminary studies on compatibility between high yield levels and the well-being of dairy cows.

Veterinary research communications·2003
Same author

Advanced ovarian carcinoma: usefulness of [(18)F]FDG-PET in combination with CT for lesion detection after primary treatment.

The quarterly journal of nuclear medicine : official publication of the Italian Association of Nuclear Medicine (AIMN) [and] the International Association of Radiopharmacology (IAR)·2003
Same author

Emerging problems in the pharmacology of migraine: interactions between triptans and drugs for prophylaxis.

Pharmacological research·2003
Same author

Estimating mixed field effects: an application supporting the lack of a non-linear component for chromosome aberration induction by neutrons.

Radiation protection dosimetry·2003

Percutaneous transhepatic sphincterotomy offers a successful alternative for common bile duct stones when endoscopic approaches fail due to anatomical challenges. This minimally invasive technique achieved immediate success in all treated patients.

Area of Science:

  • Gastroenterology
  • Interventional Radiology
  • Hepatobiliary Surgery

Background:

  • Endoscopic retrograde cholangiopancreatography (ERCP) is the standard for common bile duct (CBD) stone removal.
  • Anatomical variations, such as post-gastric surgery, can impede successful ERCP cannulation.
  • Alternative methods are needed for patients unsuitable for or failing endoscopic treatment.

Purpose of the Study:

  • To describe the technique and evaluate the efficacy of percutaneous transhepatic sphincterotomy (PTHS) for CBD stones.
  • To assess PTHS as an alternative when endoscopic sphincterotomy is not feasible.

Main Methods:

  • Percutaneous transhepatic access to the biliary tree was established.
  • A diathermic loop was inserted percutaneously for sphincterotomy.

Related Experiment Videos

  • Endoscopy was utilized to guide and confirm the position of the diathermic loop.
  • Percutaneous transhepatic sphincterotomy was performed on three patients with CBD stones.

    • Main Results:

    • Complete and immediate success was achieved in all three patients.
    • No major complications were observed during the percutaneous transhepatic procedure.
    • One patient experienced recurrence and was successfully retreated with bilioplasty.
    • Follow-up at 5-6 months showed stable results via ultrasound, X-ray, and liver function tests.

    Conclusions:

    • Percutaneous transhepatic sphincterotomy is an effective and safe alternative for CBD stone management when endoscopic approaches fail.
    • This technique is particularly valuable in patients with complex anatomy precluding standard endoscopic access.
    • PTHS should be considered electively in challenging cases of biliary tree disease.