[Endoscopic fistulotomy in choledocholithiasis].

Abstract:

:In 9 cases of choledocholithiasis and 2 cases of endoscopically determined stenosis of the papilla in which an EPT could not be successfully performed it was possible to carry out a prepapillary choledochoduodenal fistula by means of endoscopy. Subsequently the fistula was split in the cranial direction using a papillotome, i.e. a fistulotomy was performed. The choledochal concrements disappeared spontaneously and the patients recovered successfully. In 4 further cases with an occlusion icterus, but with narrow ductus choledochus the common bile duct could not be cannulated. The endoscopic fistulotomy is only indicated when the common bile duct is dilated and if prior to the procedure and after failure of ERCP the indication for a surgical intervention is established through sonography or even better through PTC.

journal_name

Z Gastroenterol

authors

Kratochvil P,Brandstätter G,Stupnicki T,Melzer G

subject

Has Abstract

pub_date

1985-08-01 00:00:00

pages

455-60

issue

8

eissn

0044-2771

issn

1439-7803

journal_volume

23

pub_type

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