| Autor: |
V A, Mariĭko, G A, Starchenko, G V, Vinogradova, A Iu, Iakunin |
| Rok vydání: |
1990 |
| Předmět: |
|
| Zdroj: |
Khirurgiia. (10) |
| ISSN: |
0023-1207 |
| Popis: |
It is suggested that the numerous variants of diverticula occurring in the region of the major duodenal papilla should be grouped into four types. Type I--the major duodenal papilla (MDP) is on the floor of the diverticulum; type II--the MDP is in the region of the lower ++semi-circumference of the diverticular orifice while the longitudinal fold runs radially on the wall of the diverticulum; type III--the MDP is in the region of the orifice of the diverticulum while the longitudinal fold does not pass on its wall; type IV--two diverticula located above the MDP to both sides of the longitudinal fold. Endoscopic papillosphincterotomy is considered contraindicated in patients with type I diverticulum. When indicated, the intervention was carried out in patients with types III and IV diverticula. Endoscopic papillosphincterotomy can be conducted in patients with type II diverticulum measuring more than 2 cm. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
