Use of endoscopy and fluoroscopy to treat and diagnose digestive issues.
Biliary endoscopic sphincterotomy
Duodenoscopic image of two pigment stones extracted from common bile duct after sphincterotomy
ICD-9-CM
51.85
[edit on Wikidata]
Biliary endoscopic sphincterotomy is a procedure where the sphincter of Oddi and the segment of the common bile duct where it enters the duodenum are cannulated and then cut with a sphincterotome, a device that includes a wire which cuts with an electric current (electrocautery).[1]
This procedure was developed in both Germany and Japan and was first published in each nation in 1974.[2][3] It has become a very common technique, useful for treatment of a wide variety of conditions of the biliary system such as the evacuation of gallstones within the bile duct (choledocholithiasis), biliary or papillary strictures, sphincter of Oddi dysfunction, bile leaks, and others. In addition, it is commonly performed during an endoscopic retrograde cholangiopancreatography (ERCP), and it may be used for facilitating diagnostic procedures such as transpapillary bile duct biopsy, papillary tumor biopsy, and insertion of a cholangioscope.[1]
^ abKöksal, Aydın Şeref; Eminler, Ahmet Tarik; Parlak, Erkan (2018-12-26). "Biliary endoscopic sphincterotomy: Techniques and complications". World Journal of Clinical Cases. 6 (16): 1073–1086. doi:10.12998/wjcc.v6.i16.1073. ISSN 2307-8960. PMC 6306628. PMID 30613665.
^Classen, M.; Demling, L. (March 1974). "Endoskopische Sphinkterotomie der Papilla Vateri und Steinextraktion aus dem Ductus choledochus". Deutsche Medizinische Wochenschrift (in German). 99 (11): 496–497. doi:10.1055/s-0028-1107790. ISSN 0012-0472. PMID 4835515. S2CID 72295600.
^Kawai, K.; Akasaka, Y.; Murakami, K.; Tada, M.; Kohli, Y.; Nakajima, M. (May 1974). "Endoscopic sphincterotomy of the ampulla of Vater". Gastrointestinal Endoscopy. 20 (4): 148–151. doi:10.1016/S0016-5107(74)73914-1. PMID 4825160.
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duodenum into the biliary system. Percutaneous transhepatic biliary drainage (PTBD) is often performed if endoscopic retrograde biliary drainage (ERBD)...
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Pomp A, Rheault M, Leduc R, Clermont R, et al. Intraoperative endoscopicsphincterotomy for common bile duct stones during laparoscopic cholecystectomy...
procedure used to drain the gallbladder through either a percutaneous or endoscopic approach. The procedure involves creating a stoma in the gallbladder,...
underwent sphincterotomy improved versus 37% of the control group. The EPISOD trial has substantiated the ineffectiveness of endoscopicsphincterotomy in patients...
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pancreatitis, no cause is identified. Endoscopic retrograde cholangiopancreatography (ERCP) with empirical biliarysphincterotomy has an equal chance of causing...
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duodenum and also after a few hours. The gallbladder is a hollow part of the biliary tract that sits just beneath the liver, with the gallbladder body resting...
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