Intramural incision technique.
Gastrointest Endosc
; 55(3): 425-7, 2002 Mar.
Article
em En
| MEDLINE
| ID: mdl-11868023
ABSTRACT
BACKGROUND:
Therapeutic ERCP is technically complex. A variety of techniques can be used to achieve biliary access when direct cannulation is difficult. Pre-cut papillotomy can provide immediate access, but this technique is associated with an increased risk of complications.METHODS:
An intramural incision technique is described that uses the false tract created with a guidewire to place a papillotome though the intramural portion of the papilla and unroof the biliary orifice. OBSERVATIONS Biliary access was achieved in 6 consecutive patients in whom access could not be obtained with either a papillotome or guidewire. No major complication occurred.CONCLUSIONS:
By virtue of the incision depth, the intramural incision technique offers a safer approach to biliary access than conventional pre-cut techniques. The technique is simple and will be useful when there is aberrant passage of a guidewire.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Colangiopancreatografia Retrógrada Endoscópica
/
Esfinterotomia Endoscópica
Limite:
Humans
Idioma:
En
Ano de publicação:
2002
Tipo de documento:
Article