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Endoscopy 1981; 13(1): 19-24
DOI: 10.1055/s-2007-1021635
© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic Sphincterotomy (EST) in Patients with Billroth II Gastrectomy

A.R. Rosseland, M. Osnes, A. Kruse
  • Dept. of Surgery, Central Hospital of Akershus, 1474 Nordbyhagen, Norway
  • Dept. of Gastroenterology, Ullevål Hospital, Oslo 1, Norway
  • Dept. of surgical Gastroenterology, Arhus Kommunehospital, Aarhus, Denmark
Further Information

Publication History

Publication Date:
17 March 2008 (online)

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See also:

A New Reserve Cutting Sphincterotome for Endoscopic Sphincterotomy after Billroth II GastrectomyEndoscopy 1993; 25(02): 191-192
DOI: 10.1055/s-2007-1010285

Summary

Methods for endoscopic sphincterotomy (EST) in patients with Billroth-II partial gastrectomy are described. The techniques have been successfully used in 13 out of 18 patients with common bile duct calculi (n = 12) and papillary carcinoma (n = 1). In all patients the calculi were passed after EST. In one case cholangitis occurred after EST. The patient was successfully treated with antibiotics.

It is concluded that EST may be performed in most cases with a previous Billroth II operation using differentiated endoscopic techniques.

Key words:

Billroth II partial gastrectomy - Choledocholithiasis - Duodenoscopy - Endoscopic cannulation - Endoscopic sphincterotomy - Operative endoscopy - Papillary carcinoma