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Titolo:
Percutaneous transpapillary extraction of biliary calculus for symptomaticcholedocholithiasis after unsuccessfully endoscopic treatment.
Autore:
Zorger, N; Manke, C; Lenhart, M; Volk, M; Link, J; Feuerbach, S;
Indirizzi:
Univ Regensburg Klinikum, Inst Rontgendiagnost, D-93042 Regensburg, Germany Univ Regensburg Klinikum Regensburg Germany D-93042 Regensburg, Germany
Titolo Testata:
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN
fascicolo: 2, volume: 173, anno: 2001,
pagine: 92 - 96
SICI:
1438-9029(200102)173:2<92:PTEOBC>2.0.ZU;2-2
Fonte:
ISI
Lingua:
GER
Soggetto:
BILE-DUCT STONES; PAPILLARY DILATION; BALLOON SPHINCTEROPLASTY; RANDOMIZED TRIAL; REMOVAL; COMPLICATIONS; MANAGEMENT; PLACEMENT; STENTS;
Keywords:
bile duct stones; papillary stenosis; balloon dilation; transhepatic sphincteroplasty; percutaneous bile stone extraction;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Zorger, N Univ Regensburg Klinikum, Inst Rontgendiagnost, Franz Josef Strauss Allee 11, D-93042 Regensburg, Germany Univ Regensburg Klinikum Franz Josef Strauss Allee 11 Regensburg Germany D-93042
Citazione:
N. Zorger et al., "Percutaneous transpapillary extraction of biliary calculus for symptomaticcholedocholithiasis after unsuccessfully endoscopic treatment.", ROFO-F RONT, 173(2), 2001, pp. 92-96

Abstract

Purpose: Evaluation of a percutaneous transhepatic treatment of symptomatic choledocholithiasis in bile ducts that cannot be reached with the endoscope. Methods: From January 1996 to August 2000 a transhepatic extraction of biliary calculus was performed in four patients. Endoscopic retrograde cholangiography (ERC) was not successful in any Of the cases. Clinical symptomswere icterus in four cases, additional cholangitis or colics in two cases. First, a ballon dilation of the papilla was performed by a percutaneous transhepatic approach. For removal of bile duct stones, occlusion catheters and Dormia baskets were used. Technical success was defined as complete removal of bile duct stones. Clinical success was defined as normalization of cholestasis and inflammation parameters. In the follow-up an ultrasound examination was performed and blood samples were taken for control of cholestasis parameters. Results: In all four cases treatment was technically and clinically successful. For complete removal of biliary calculus a second intervention was necessary in two cases. In each case an internal to external drainage was left over a mean of 7 days (3 -13 days). In the mean follow-up of 30.5 months (6-50 months) all patients had persistent relief of symptoms. No further interventions were necessary. No complications were present. Conclusion: Percutaneous transpapillary extraction of biliary calculus is an effective alternative to surgery in patients with bile ducts, that cannot be reached with the endoscope.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 10/07/20 alle ore 15:55:29