Zorger, Niels and Manke, C. and Lenhart, M. and Voelk, M. and Link, J. and Feuerbach, S. (2001) Percutaneous transpapillary extraction of biliary calculus for symptomatic choledocholithiasis after unsuccessfully endoscopic treatment. ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN, 173 (2). pp. 92-96. ISSN 1438-9029
Full text not available from this repository. (Request a copy)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 symptoms were 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.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | BILE-DUCT STONES; PAPILLARY DILATION; BALLOON SPHINCTEROPLASTY; RANDOMIZED TRIAL; REMOVAL; COMPLICATIONS; MANAGEMENT; PLACEMENT; STENTS; bile duct stones; papillary stenosis; balloon dilation; transhepatic sphincteroplasty; percutaneous bile stone extraction |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Röntgendiagnostik |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 15 Feb 2022 13:46 |
| Last Modified: | 15 Feb 2022 13:46 |
| URI: | https://pred.uni-regensburg.de/id/eprint/41796 |
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