Combined transhepatic and endoscopic procedures in the biliary system
Endoscopic biliary procedures are 89-97% successful in skilled hands. The commonest causes of failure are inability to cannulate the papilla of Vater due to difficult anatomy or tortuosity of the distal common bile duct and failure to cross a rigid biliary stricture. In nearly all of these cases, su...
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| Veröffentlicht in: | Postgraduate medical journal 1993-05, Vol.69 (811), p.384-388 |
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| container_title | Postgraduate medical journal |
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| creator | Verstandig, A. G. Goldin, E. Sasson, T. Weinberger, G. Wengrower, D. Fich, A. Lax, E. |
| description | Endoscopic biliary procedures are 89-97% successful in skilled hands. The commonest causes of failure are inability to cannulate the papilla of Vater due to difficult anatomy or tortuosity of the distal common bile duct and failure to cross a rigid biliary stricture. In nearly all of these cases, successful endoscopic procedures can be completed after percutaneous antegrade placement of a small catheter or guidewire to the duodenum. In 44 such combined procedures on 42 patients, the success rate was 43 (98%). There were two severe and eight mild complications. Combined procedures overcome the difficulties caused by tortuous biliary ducts and rigid strictures while obviating the need for more extensive percutaneous procedures and transhepatic tract dilatation. |
| doi_str_mv | 10.1136/pgmj.69.811.384 |
| format | Article |
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Combined procedures overcome the difficulties caused by tortuous biliary ducts and rigid strictures while obviating the need for more extensive percutaneous procedures and transhepatic tract dilatation.</description><identifier>ISSN: 0032-5473</identifier><identifier>EISSN: 1469-0756</identifier><identifier>DOI: 10.1136/pgmj.69.811.384</identifier><identifier>PMID: 8346135</identifier><language>eng</language><publisher>England: The Fellowship of Postgraduate Medicine</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biliary Tract Diseases - surgery ; Biliary Tract Surgical Procedures - methods ; Catheterization ; Drainage ; Endoscopy ; Female ; Humans ; Male ; Middle Aged ; Postoperative Complications ; Sphincterotomy, Transduodenal ; Treatment Outcome</subject><ispartof>Postgraduate medical journal, 1993-05, Vol.69 (811), p.384-388</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b461t-3d127bcf385074c616ebc9a88b5a5bc7733c1ad0e44dad99f95dc7a3cba58a0c3</citedby><cites>FETCH-LOGICAL-b461t-3d127bcf385074c616ebc9a88b5a5bc7733c1ad0e44dad99f95dc7a3cba58a0c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2399820/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2399820/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8346135$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Verstandig, A. 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There were two severe and eight mild complications. Combined procedures overcome the difficulties caused by tortuous biliary ducts and rigid strictures while obviating the need for more extensive percutaneous procedures and transhepatic tract dilatation.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biliary Tract Diseases - surgery</subject><subject>Biliary Tract Surgical Procedures - methods</subject><subject>Catheterization</subject><subject>Drainage</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications</subject><subject>Sphincterotomy, Transduodenal</subject><subject>Treatment Outcome</subject><issn>0032-5473</issn><issn>1469-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtrGzEYxEVJSJy0554Ke8ohsLa0el8CweRRSJxDH4dehF6OleyuNtK61P99ZWxMe8pJiJlvZvgB8BnBKUKYzYbn7mXK5FQgNMWCfAATRJisIafsCEwgxE1NCcen4CznFwgR5gSdgBOBCUOYTsDNPHYm9N5VY9J9XvlBj8FWuneV713MNg7lO6RovVsnn6vQV-PKVya0QadNlTd59N1HcLzUbfaf9u85-HF7831-Xz883X2dXz_UptSNNXao4cYusaCQE8sQ88ZKLYShmhrLOcYWaQc9IU47KZeSOss1tkZToaHF5-BqlzusTeed9X1Z3aohha6MUVEH9b_Sh5V6jr9Vg6UUDSwBF_uAFN_WPo-qC9n6ttW9j-usOBWcNQ0pxtnOaFPMOfnloQRBtSWvtuQVk6qQV4V8ufjy77aDf4-66PVOD4XYn4Os06tiHHOqFj_nin5b3P66f2QKFf_lzm9Kz3vlfwFG1Z72</recordid><startdate>19930501</startdate><enddate>19930501</enddate><creator>Verstandig, A. 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G.</creatorcontrib><creatorcontrib>Goldin, E.</creatorcontrib><creatorcontrib>Sasson, T.</creatorcontrib><creatorcontrib>Weinberger, G.</creatorcontrib><creatorcontrib>Wengrower, D.</creatorcontrib><creatorcontrib>Fich, A.</creatorcontrib><creatorcontrib>Lax, E.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Postgraduate medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Verstandig, A. G.</au><au>Goldin, E.</au><au>Sasson, T.</au><au>Weinberger, G.</au><au>Wengrower, D.</au><au>Fich, A.</au><au>Lax, E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Combined transhepatic and endoscopic procedures in the biliary system</atitle><jtitle>Postgraduate medical journal</jtitle><addtitle>Postgrad Med J</addtitle><date>1993-05-01</date><risdate>1993</risdate><volume>69</volume><issue>811</issue><spage>384</spage><epage>388</epage><pages>384-388</pages><issn>0032-5473</issn><eissn>1469-0756</eissn><abstract>Endoscopic biliary procedures are 89-97% successful in skilled hands. The commonest causes of failure are inability to cannulate the papilla of Vater due to difficult anatomy or tortuosity of the distal common bile duct and failure to cross a rigid biliary stricture. In nearly all of these cases, successful endoscopic procedures can be completed after percutaneous antegrade placement of a small catheter or guidewire to the duodenum. In 44 such combined procedures on 42 patients, the success rate was 43 (98%). There were two severe and eight mild complications. Combined procedures overcome the difficulties caused by tortuous biliary ducts and rigid strictures while obviating the need for more extensive percutaneous procedures and transhepatic tract dilatation.</abstract><cop>England</cop><pub>The Fellowship of Postgraduate Medicine</pub><pmid>8346135</pmid><doi>10.1136/pgmj.69.811.384</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0032-5473 |
| ispartof | Postgraduate medical journal, 1993-05, Vol.69 (811), p.384-388 |
| issn | 0032-5473 1469-0756 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adult Aged Aged, 80 and over Biliary Tract Diseases - surgery Biliary Tract Surgical Procedures - methods Catheterization Drainage Endoscopy Female Humans Male Middle Aged Postoperative Complications Sphincterotomy, Transduodenal Treatment Outcome |
| title | Combined transhepatic and endoscopic procedures in the biliary system |
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