Endoscopic Choledochoduodenostomy (ECDT): A Practical Approach to Management of Impacted Papillary Gallstones and Ampullary Tumors

Autor:	Abdul Mutaal Mohamed Ahmed, Mohamed A. Al-Karawi, Abdel Rahman El-Shiekh Mohamed
Rok vydání:	1992
Předmět:	medicine.medical_specialty Ampullary carcinoma Common bile duct business.industry Impaction Papillary tumor General Medicine Gallstones medicine.disease Surgery Major duodenal papilla medicine.anatomical_structure Medicine business
Zdroj:	Annals of Saudi Medicine. 12:352-354
ISSN:	0975-4466 0256-4947
DOI:	10.5144/0256-4947.1992.352
Popis:	We report five cases of impacted papillary stones and two cases of ampullary carcinoma treated by endoscopic choledochoduodenostomy (ECDT) at Riyadh Armed Forces Hospital (RAFH). The procedure was carried out successfully in all five cases with impacted stones and in one of the two cases of ampullary carcinoma. No complications were noted. In the presence of the necessary endoscopic expertise and in cases of impossible cannulation of the papilla of Vater due to stone impaction or the presence of a papillary tumor, we recommend endoscopic choledochoduodenostomy (ECDT). This approach provides an access to the common bile duct thus following appropriate therapeutic procedurs on the biliary system to be performed.
Databáze:	OpenAIRE
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