PMID: 3743950Jan 1, 1986Paper

Percutaneous transhepatic sphincterotomy in the management of biliary tract disease

Gastrointestinal Radiology
C CobournB Langer

Abstract

This report describes a novel modification of existing transhepatic techniques and illustrates successful relief of mechanical obstructive jaundice in 2 patients in whom surgical or endoscopic intervention was contraindicated or impossible. In each, percutaneous transhepatic cholangiogram (PTC) was performed in the usual manner. A standard endoscopic papillotome was then advanced across the stricture into the duodenum. Sphincterotomy was performed at the 11 to 1 o'clock position using blended current for 3-4 seconds. Repeat cholangiography showed successful decompression of the biliary tree in both patients. No morbidity or mortality was directly attributable to percutaneous transhepatic sphincterotomy in these patients. This technique offers a safe and therapeutic alternative to biliary tract obstruction, and should be considered in selected patients who are not candidates for surgery or endoscopy.

References

Sep 1, 1978·RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin·R GüntherS Störkel
Oct 1, 1978·Radiology·W Molnar, A E Stockum
Jan 1, 1986·Gastrointestinal Radiology·H J Burhenne, C H Scudamore
Apr 1, 1981·Seminars in Roentgenology·J A Oleaga, E J Ring

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Citations

Aug 1, 1990·Cardiovascular and Interventional Radiology·G GandiniG R Fronda
Mar 1, 1991·Baillière's Clinical Gastroenterology·M C Winslet, J P Neoptolemos
Jun 1, 1992·Baillière's Clinical Gastroenterology·C S Ho, E Y Yeung
Dec 14, 2005·Emergency Radiology·Bojan PetrovicFrank H Miller
Dec 9, 2000·Radiology·G S GazelleT Livraghi
Aug 1, 1996·The British Journal of Surgery·A MilheiroM João Matos

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