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Endoscopy 2004; 36(2): 147-159
DOI: 10.1055/s-2004-814182
State of the Art Review
© Georg Thieme Verlag Stuttgart · New York

Therapeutic Biliary Endoscopy

M.  Mutignani1 , A.  Tringali1 , G.  Costamagna1
  • 1Digestive Endoscopy Unit, Catholic University, Rome, Italy
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Publication Date:
06 February 2004 (online)

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Almost all biliary diseases are now amenable to endoscopic treatment. Progress in therapeutic biliary endoscopy is currently focusing on identifying the best treatment options to be used in each case in relation to the available evidence: how should a malignant stricture of the common bile duct or hilum be drained? How should an external biliary fistula be treated? What should one do with the gallbladder after extraction of common bile duct stones? Should sedation or general anesthesia be offered? Progress has been made in the technique of endoscopic ampullectomy and in developing new devices to improve the success rate of endoscopic retrograde cholangiopancreatography.

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G. Costamagna, M. D.

Università Cattolica del Sacro Cuore

A. Gemelli University Hospital · Largo A. Gemelli 8 · 00168 Rome · Italy

Fax: 39-06-3015-6581

Email: gcostamagna@rm.unicatt.it