Biliary drainage by endoscopic choledo-choduodenal fistulotomy in patients with papillary carcinoma

초록

Background. There are few reports of endoscopic choledochoduodenal fistulotomy (endoscopic fistulotomy) in patients with papillary carcinoma by using a needle-knife. Methods: Among 35 patients with papillary carcinoma requiring biliary drainage, 14 with a suprapapillary bulge underwent endoscopic fistulotomy alone or with widening of the fistula by using a standard sphincterotome or dilation balloon catheter. Observations: Transfistula bile duct cannulation was successful on the first attempt in 13 of 14 patients (93%).

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