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Endoscopy 1991; 23(1): 25-28
DOI: 10.1055/s-2007-1010601
DOI: 10.1055/s-2007-1010601
New Techniques
© Georg Thieme Verlag KG Stuttgart · New York
Percutaneous Transhepatic Sphincterotomy - A Report on 3 Cases
Further Information
Publication History
Publication Date:
17 March 2008 (online)
![](https://www.thieme-connect.de/media/endoscopy/199101/lookinside/thumbnails/10.1055-s-2007-1010601-1.jpg)
Summary
The technique of percutaneous transhepatic sphincterotomy is described. This procedure was employed in 3 patients with common bile duct (CBD) stones in whom a previous attempted endoscopic procedure had failed for anatomical reasons (a Billroth II gastric resection or a partial gastric resection with Braun anastomosis). Complete immediate success was obtained in all 3 patients. Furthermore, no major complications occurred during transhepatic treatment. The authors suggest that PTS be employed electively in patients with diseases of the biliary tree in whom the endoscopic approach fails.
Key words:
Choledocholithiasis - Papillary stenosis - Sphincterotomy - Bile duct, obstruction