维普中文期刊产品整合服务

Selective sphincteroplasty of the papilla in cases at risk due to atypical anatomy

查看全文 作　　者：F [1]Mugica;G [2]Urdapilleta;A [3]Castiella;A [4]Berbiela;F [1]Alzate;E [1]Zapata;L [1]Zubiaurre;P [1]Lopez;JI [1]Arenas 高影响力作者 机构地区：[1]Gastroenterology Department, Donostia Hospital, San Sebastian, Spain;[2]Department, Donostia Hospital, San Sebastian, Spain;[3]Gastroenterology Department, Bajo Deva Hospital, Spain;[4]Anaesthesia Department, Donostia Hospital, San Sebastian, Spain高影响力机构 出　　处：《World Journal of Gastroenterology》索引2007年第13卷第22期,共6页高影响力期刊 摘　　要：AIM: To analyze the indications, effi cacy and safety of sphincteroplasty in our centre. METHODS: A retrospective study of sphincteroplasty in 53 cases of papilla at high risk was performed in 2004-2006. The procedure consisted of duodenoscopy with Olympus TJF 145 Videoduodenoscope, approach to the biliary tract using a catheter with a guidewire, and dilatation of the papilla with a dilatation balloon catheter using a syringe with a manometer for control of the fi lling pressure. RESULTS: The indications included intradiverticular papilla in 26 patients (49/), stenosis of a previous sphincterotomy in 19 patients (35.8/), small size of the papilla in 4 patients (7.5/), Billroth Ⅱ gastrectomy in 3 patients (5.6/), and coagulopathy in one patient (1.9/). The efficacy was 97.8/, with all the calculi extracted from the common bile duct in 84.4/ of the patients, even though 21 of the patients (39.6/) had calculi with a diameter equal to or greater than 10 mm. Seven patients (13.2/) presented complications: haemorrhage in 1 patient (1.9/) and mild pancreatitis in 6 patients (11.3/). The mean hospital stay in case of complications was of 3 ± 0.63 d. CONCLUSION: Sphincteroplasty is highly effective, with a complication rate similar to that of sphincterotomy, furthermore, the complications are of low clinical importance. The use of the 10 mm balloon makes it possible to extract calculi with a diameter of over 15 mm and to extract more than 3 calculi without increasing the rate of complications and reduces the need to resort tolithotripsy or rescue sphincterotomy. 关 键 词：括约肌切开术 解剖学 胆总管结石病 急性胰腺炎 乳头
相关文献

参考文献(30)

引证文献(5)

网站首页 | 关于我们 | 联系我们 | 产品服务 | 客服中心 | 广告服务 | 版权声明 | 网站联盟 | 友情链接 | 售卡网点

版权所有© 渝B2-20050021-1　渝公网安备 50019002500403号　违法和不良信息举报中心

互联网出版许可证 新出网证(渝)字10号 全国400电话 - 免长途话费