Usefulness of the 2-Devices-in-1-Channel Method in Case of Difficult Selective Biliary Cannulation Due to Parapapillary Diverticulum/Diverticular Papilla
| Autor: | Mutsumi Yamato, Hiroshi Ohyama, Harutoshi Sugiyama, Yuko Kusakabe, Toshio Tsuyuguchi, Koji Takahashi, Naoya Kato, Yuji Sakai, Junichjiro Kumagai, Yotaro Iino, Ayako Shingyoji, Masato Nakamura, Shin Yasui, Rintaro Mikata |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Gallstones Gallstones surgery Catheterization Sphincterotomy Endoscopic 03 medical and health sciences 0302 clinical medicine stomatognathic system Humans Medicine In patient Duodenal Diseases Aged Retrospective Studies Aged 80 and over Cholangiopancreatography Endoscopic Retrograde integumentary system urogenital system business.industry Middle Aged medicine.disease Pancreatic Neoplasms Major duodenal papilla Diverticulum 030220 oncology & carcinogenesis Drainage Female Gallbladder Neoplasms 030211 gastroenterology & hepatology Surgery Channel (broadcasting) Radiology business |
| Zdroj: | Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. 28:295-297 |
| ISSN: | 1530-4515 |
| DOI: | 10.1097/sle.0000000000000551 |
| Popis: | To investigate whether the 2-devices-in-1-channel method is useful for selective biliary cannulation in patients with parapapillary diverticulum or intradiverticular papilla, where the papilla cannot be seen from the front.Biliary cannulation using the 2-devices-in-1-channel method was performed in 28 patients who presented difficulty due to parapapillary diverticulum or intradiverticular papilla. There were 15 men and 13 women whose mean age was 68.8 (58 to 88) years. There were 22 patients with common bile duct stones, 5 with pancreatic cancer, and 1 with gallbladder cancer.Selective biliary cannulation was successful in all 28 patients. Common bile duct stones could be removed in all 22 patients after endoscopic sphincterotomy or endoscopic balloon dilation, and all 5 patients with pancreatic cancer as well as the patient with gallbladder cancer were successfully drained. There were no procedure-related complications.From these results, we consider the 2-devices-in-1-channel method is useful and safe to perform selective biliary cannulation when the papilla cannot be seen from the front due to parapapillary diverticulum, or intradiverticular papilla. |
| Databáze: | OpenAIRE |
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