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Endoscopy 1991; 23(1): 25-28
DOI: 10.1055/s-2007-1010601
New Techniques

© Georg Thieme Verlag KG Stuttgart · New York

Percutaneous Transhepatic Sphincterotomy - A Report on 3 Cases

E. Zanon, D. Righi, U. Maisano, D. Regge, A. Ferrari* , S. Recchia* , G. Gandini
  • Istituto di Radiologia dell' Università di Torino
  • *Divisione di Gastroenterologia dell'Ospedale Maggiore S. Giovanni Battista e della Città di Torino
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Publication History

Publication Date:
17 March 2008 (online)

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See also:

Percutaneous Transhepatic PapillotomyEndoscopy 1991; 23(06): 356-358
DOI: 10.1055/s-2007-1010722

Summary

The technique of percutaneous transhepatic sphincterotomy is described. This procedure was employed in 3 patients with common bile duct (CBD) stones in whom a previous attempted endoscopic procedure had failed for anatomical reasons (a Billroth II gastric resection or a partial gastric resection with Braun anastomosis). Complete immediate success was obtained in all 3 patients. Furthermore, no major complications occurred during transhepatic treatment. The authors suggest that PTS be employed electively in patients with diseases of the biliary tree in whom the endoscopic approach fails.

Key words:

Choledocholithiasis - Papillary stenosis - Sphincterotomy - Bile duct, obstruction

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