Endoscopic Fistulotomy – ‘The Suprapapillary Punch’: A Method of Access to the Bile Duct during ERCP
Endoscopic retrograde cholangiopancreatography (ERCP) is established as the method of choice to investigate the biliary tree when obstruction is suspected. On rare occasions, the papilla cannot be entered because of anatomical or pathological abnormalities. This report describes endoscopic fistuloto...
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| Format: | Article |
| Language: | English |
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Wiley
1994-01-01
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| Series: | Canadian Journal of Gastroenterology |
| Online Access: | http://dx.doi.org/10.1155/1994/497470 |
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| _version_ | 1832555500834652160 |
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| author | Noel B Hershfield |
| author_facet | Noel B Hershfield |
| author_sort | Noel B Hershfield |
| collection | DOAJ |
| description | Endoscopic retrograde cholangiopancreatography (ERCP) is established as the method of choice to investigate the biliary tree when obstruction is suspected. On rare occasions, the papilla cannot be entered because of anatomical or pathological abnormalities. This report describes endoscopic fistulotomy or the suprapapillary punch that has been carried out at the Foothills Hospital in Calgary, Alberta, on 30 of 623 patients referred for ERCP for conditions causing obstruction of the common bile duct or suspected obstruction of the common bile duct. The following communication also describes the method of suprapapillary punch or endoscopic fistulotomy. Results have been excellent with only one complication, a minor attack of pancreatitis after the procedure. In summary, the
suprapapillary punch or fistulotomy is a safe and useful method for entering the common bile duct when access by the usual method is impossible. |
| format | Article |
| id | doaj-art-e8aef2c13d3b4e9fbfa1bc1a49b8b792 |
| institution | Kabale University |
| issn | 0835-7900 |
| language | English |
| publishDate | 1994-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology |
| spelling | doaj-art-e8aef2c13d3b4e9fbfa1bc1a49b8b7922025-02-03T05:48:04ZengWileyCanadian Journal of Gastroenterology0835-79001994-01-0181333510.1155/1994/497470Endoscopic Fistulotomy – ‘The Suprapapillary Punch’: A Method of Access to the Bile Duct during ERCPNoel B Hershfield0Department of Medicine, The University of Calgary, Calgary, Alberta, CanadaEndoscopic retrograde cholangiopancreatography (ERCP) is established as the method of choice to investigate the biliary tree when obstruction is suspected. On rare occasions, the papilla cannot be entered because of anatomical or pathological abnormalities. This report describes endoscopic fistulotomy or the suprapapillary punch that has been carried out at the Foothills Hospital in Calgary, Alberta, on 30 of 623 patients referred for ERCP for conditions causing obstruction of the common bile duct or suspected obstruction of the common bile duct. The following communication also describes the method of suprapapillary punch or endoscopic fistulotomy. Results have been excellent with only one complication, a minor attack of pancreatitis after the procedure. In summary, the suprapapillary punch or fistulotomy is a safe and useful method for entering the common bile duct when access by the usual method is impossible.http://dx.doi.org/10.1155/1994/497470 |
| spellingShingle | Noel B Hershfield Endoscopic Fistulotomy – ‘The Suprapapillary Punch’: A Method of Access to the Bile Duct during ERCP Canadian Journal of Gastroenterology |
| title | Endoscopic Fistulotomy – ‘The Suprapapillary Punch’: A Method of Access to the Bile Duct during ERCP |
| title_full | Endoscopic Fistulotomy – ‘The Suprapapillary Punch’: A Method of Access to the Bile Duct during ERCP |
| title_fullStr | Endoscopic Fistulotomy – ‘The Suprapapillary Punch’: A Method of Access to the Bile Duct during ERCP |
| title_full_unstemmed | Endoscopic Fistulotomy – ‘The Suprapapillary Punch’: A Method of Access to the Bile Duct during ERCP |
| title_short | Endoscopic Fistulotomy – ‘The Suprapapillary Punch’: A Method of Access to the Bile Duct during ERCP |
| title_sort | endoscopic fistulotomy the suprapapillary punch a method of access to the bile duct during ercp |
| url | http://dx.doi.org/10.1155/1994/497470 |
| work_keys_str_mv | AT noelbhershfield endoscopicfistulotomythesuprapapillarypunchamethodofaccesstothebileductduringercp |