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Endoscopy 1987; 19(4): 164-166
DOI: 10.1055/s-2007-1018270
© Georg Thieme Verlag KG Stuttgart · New York

Evaluation of a Combined Percutaneous-Endoscopic Procedure for the Treatment of Choledocholithiasis and Benign Papillary Stenosis

T. Ponchon, P.-J. Valette, R. Bory, P.-M. Bret, M. Bretagnolle, A. Chavaillon
  • Service de Gastroenterologie (Pavillons Hbis et Hradio) Hôpital Edouard Herriot, Place d'Arsonval France
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Publication Date:
17 March 2008 (online)

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Summary

In 19 patients suffering from choledocholithiasis or papillary stenosis, retrograde cholangiography or sphincterotomy failed because of anatomic abnormalities. In such cases, sphincterotomy was then performed with the assistance of a percutaneous catheter. Two complications were observed: moderate bleeding from the transhepatic drain, and a retroperitoneal perforation needing surgery. This combined procedure is very efficient, but gives rise to complications of both the transhepatic and endoscopic routes.

Key words:

Choledocholithiasis - Papillary stenosis - Sphincterotomy - Retrograde cholangiography