cutting the difficult papilla: ancillary techniques in the performance of endoscopic sphincterotomy
Clicks: 9
ID: 226001
1990
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This
article has not been analysed, so there is no overall score —
reader engagement is measured and shown alongside.
Reader Engagement
Popular Article
2.4
/100
9 views
5 readers
AI Quality Assessment
Not analyzed
Readership in this journal
PopularRanked #227 of 250 articles by views in indian journal of pharmacology
Most read
Least read
Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 250 in total.
Mint this article as an NFT
Not yet mintedCreate a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.
5
SUSD
one-off · no wallet required
Abstract
Of 1040 endoscopic sphincterotomies performed over a five year
period, standard papillotomy was possible in 874 (84%). In 166 cases (16%) a
difficult papilla was encountered requiring nonstandard techniques of precutting,
transpapillary guided endoscopic sphincterotomy, transhepatic guided endoscopic
sphincterotomy and percutaneous transhepatic sphincterotomy. The
technique first attempted in these 166 cases was successfully completed in 154
(93%). Among the 135 cases with intradiverticular papillas, successful papillotomy
was achieved in 125 (92.7%). Early complications of standard endoscopic
sphin-.lerotomy included bleeding, perforation, pancreatitis and cholangitis,
comprising 4.3% of the 1040 sphincterocomies. There were five deaths (mortality
rate 0.5%) and laparotomy was required in six patients (0.6%). Conditions
contributing to complications included an intradiverticular papilla and precutting.
Evaluation of endoscopic sphincterotomy by transpapillary or transhepatic
routes guided by guidewire or drain placement revealed complication rates of 6.6
and 10.6%, respectively. Of the patients with histories of gastric resection and
Billroth II anastomoses, standard sphincterotomy was possible in 15 (55.5%); in
two cases the papilla was unapproachable endoscopically, requiring use of percutaneous
transhepatic sphincterotomy. The percutaneous transhepatic sphincterotomy
without endoscopic control is felt to be a higher risk procedure and
should be reserved for rare indications. Appropriate use of these techniques
should allow performance of endoscopic sphincterotomy in almost all clinical
settings.
| Reference Key |
liguory1990canadiancutting
Use this key to autocite in the manuscript while using
SciMatic Manuscript Manager or Thesis Manager
|
|---|---|
| Authors | ;Claude Liguory;Jean Francois Lefebvre;Didier Bonnel;Gary C Vitale |
| Journal | indian journal of pharmacology |
| Year | 1990 |
| DOI |
10.1155/1990/254189
|
| URL | |
| Keywords |
Citations
No citations found. To add a citation, contact the admin at info@scimatic.org
Comments
No comments yet. Be the first to comment on this article.