Endoscopic papillotomy for recurrent common bile duct stones and papillary stenosis. A community hospital experience
| Autor: | Frank T. Jordan, Robert J. Mazzeo, Stanley R. Strasius |
|---|---|
| Rok vydání: | 1983 |
| Předmět: |
Adult
Male medicine.medical_specialty Ampulla of Vater Michigan Adolescent medicine.medical_treatment Common Bile Duct Diseases Hospitals Community Constriction Pathologic Gallstones Cholangiography medicine Carcinoma Humans Aged Common bile duct medicine.diagnostic_test business.industry Mortality rate Endoscopy Middle Aged medicine.disease Community hospital Surgery medicine.anatomical_structure Biliary tract Cholecystectomy Female Papillary stenosis business |
| Zdroj: | Archives of surgery (Chicago, Ill. : 1960). 118(6) |
| ISSN: | 0004-0010 |
| Popis: | • Fifty-nine papillotomies were performed, 56 for biliary tract disease and three for papillary stenosis (secondary to carcinoma in two cases). All 56 patients with biliary tract disease had undergone previous cholecystectomies. Fifty-one of them had stones in the common duct, and in 41, all identified stones were removed. Stones were retained in ten patients, four of whom required surgical biliary tract exploration for extraction. Our results indicate that common bile duct stones with diameters 2.5 cm or greater should be approached surgically. Endoscopic papillotomy had an initial success rate of 80% for extraction of common bile duct stones and a late or actual success rate of 92%, confirmed by cholangiography. There were nine complications, including five episodes of bleeding (three requiring surgical intervention for control), giving an overall morbidity rate of 15.2%. The mortality was 3.4%. The procedure is indicated in the treatment of papillary stenosis and stones retained in the common bile duct after cholecystectomy. ( Arch Surg 1983;118:693-695) |
| Databáze: | OpenAIRE |
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