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Radiologically assisted endoscopic papillotomy

G Thompson, P G LeBrun, L Fried

    Journal of the Canadian Association of Radiologists
    |December 1, 1982
    PubMed
    Summary
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    Endoscopic sphincterotomy effectively treats bile duct stones and papillary stenosis. A transbiliary drainage catheter can aid difficult cannulation, improving success rates for this endoscopic procedure.

    Area of Science:

    • Gastroenterology
    • Interventional Endoscopy

    Background:

    • Endoscopic sphincterotomy is a standard treatment for common bile duct stones and papillary stenosis.
    • Procedure success can be limited by cannulation difficulties.

    Observation:

    • Two cases are presented where a transbiliary drainage catheter aided endoscopic sphincterotomy.
    • The catheter facilitated access and manipulation during the procedure.

    Findings:

    • Transbiliary drainage catheters can overcome cannulation challenges in endoscopic sphincterotomy.
    • Radiologic guidance with these catheters significantly enhances procedural success.

    Implications:

    • This technique broadens the applicability of endoscopic sphincterotomy.

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  • It suggests that few patients would be unable to undergo successful endoscopic sphincterotomy with this assistance.