Download PDF
Endoscopy 1984; 16(3): 122-123
DOI: 10.1055/s-2007-1018552
© Georg Thieme Verlag KG Stuttgart · New York

Dissolution of Biliary Duct Stones without Papillotomy in a Patient with Billroth II Resection and Crohn's Disease

E. Zillessen, B. Louis, H.C. Dürr
  • Medizinische Klinik Krankenhaus Fürst-Stirum-Stiftung, Bruchsal, Akademisches Lehrkrankenhaus der Universität Heidelberg (Chefarzt: Prof. Dr. med. F. Heinrich)
Further Information

Publication History

Publication Date:
17 March 2008 (online)

Also available at
  PDF Download  Permissions and Reprints

Summary

A patient with a Billroth II resection and Crohn's disease subsequently developed obstructive jaundice and biliary sepsis. Three hepatic duct stones were demonstrated by ERC. After overcoming the obstruction by means of temporary retrograde internal drainage, perfusion of glyceryl-1-monooctanoate-carnosine and bile-acid-EDTA solution (2) was combined with sucralfate instillation into the blind loop via a duodenal tube. During successful treatment of the cholangiolithiasis, no deterioration of Crohn's disease was seen. Secondary effects such as abdominal pain or diarrhoea, were treated symptomatically.

Key words:

Billroth II resection - Crohn's disease - Biliary duct stones - Obstructive jaundice - Biliary sepsis