Endoscopic sphincterotomy - The basics
Endoscopic sphincterotomy refers to the incision of the terminal portion of the biliary or pancreatic ducts by a variety of techniques, depending on anatomic circumstances, goals and risks. Alternative methods include percutaneous transhepatic or surgical techniques. The initial Erlangen method - co...
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| Main Author: | |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
1990-01-01
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| Series: | Canadian Journal of Gastroenterology |
| Online Access: | http://dx.doi.org/10.1155/1990/691410 |
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| Summary: | Endoscopic sphincterotomy refers to the incision of the terminal
portion of the biliary or pancreatic ducts by a variety of techniques, depending
on anatomic circumstances, goals and risks. Alternative methods include percutaneous
transhepatic or surgical techniques. The initial Erlangen method -
complete sphinccerotomy - carried an unavoidable risk of perforation and
hemorrhage. Fractional incision or 'endoscopic papillotomy' - incision of the
inferior sphincter - carries no risk of hemorrhage or perforation, done properly.
Techniques of papillotomy including 'pull,' 'precut,' stent placement, infundibulotomy,
percutaneous cholangiography, and internal spring wire are
described, and general electrosurgical principles discussed. |
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| ISSN: | 0835-7900 |