RESUMO
Infundibullotomy or the method of endoscopic choledochoduodenostomy is an alternative to surgical bilio-digestive anastomosis for common bile duct obstructions due to impacted stone in the ampulla de Vater when occasionally standard endoscopic sphincterotomy was unsuccessful. In addition the endoscopic choledochoduodenostomy is a method described as final palliative treatment in elderly patients and/or those as high operative risk with malignant obstructions in the distal part of the common bile duct.
Assuntos
Ampola Hepatopancreática/cirurgia , Coledocostomia/métodos , Cálculos Biliares/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Endoscopia Gastrointestinal , Feminino , Cálculos Biliares/diagnóstico , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Sixty-two patients were divided into two groups, and their sera was analyzed. a) In the first series, a study was made of the sera of patients with hepatic abscess wherein tests were positive in 100% of the cases. b) In the second serie, a study was made of the sera of patients with evidence of amoebiasis wherein tests were negative in 100% of the cases. Evaluation and diagnoses of patients were performed on the basis of clinical, radiological, scintillogram, coprological and endoscopic examinations.