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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:dateCreated |
1990-2-13
|
| pubmed:abstractText |
Cholangioscopy permits new diagnostic and therapeutic procedures. It can be performed via the peroral route when anatomical conditions are suitable. This procedure was attempted in 6 cases (lithiasis in 5, malignant stenosis in 1): cholangioscopy proved possible in 4 cases, and lithotripsy was successful in 2 cases out of 3. Percutaneous transhepatic cholangioscopy was performed when peroral cholangioscopy was not possible (non-accessible papilla, hepatico-jejunostomy), or failed. In 17 patients with common bile duct (CBD) stones, unextractable by conventional procedures 14 underwent a cholangioscopy with electrohydraulic lithotripsy. Sixteen had complete clearance of the CBD. Cholangioscopy was attempted in 18 patients with intra-hepatic lithiasis. Lithotripsy was necessary in 10 cases and stenosis dilatation in 8. Results were excellent in 15 patients, and good in 3 with diffuse intra-hepatic lithiasis. In the case of lithiasis, the complication rate of the procedure was 29.5% and 27.7% for CBD and intrahepatic stones, respectively, and the mortality rate was 8.5% (n = 3). These complications (bleeding and cholangitis) are closely related to the percutaneous route. In malignant stenosis (n = 5), cholangioscopy was performed for diagnostic purposes in one case, extraction of a stent in one case and endobiliary laser treatment in 3 cases.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Dec
|
| pubmed:issn |
0013-726X
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
21 Suppl 1
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
341-3
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:2606083-Adult,
pubmed-meshheading:2606083-Aged,
pubmed-meshheading:2606083-Aged, 80 and over,
pubmed-meshheading:2606083-Bile Duct Diseases,
pubmed-meshheading:2606083-Endoscopes,
pubmed-meshheading:2606083-Endoscopy,
pubmed-meshheading:2606083-Humans,
pubmed-meshheading:2606083-Lithotripsy,
pubmed-meshheading:2606083-Middle Aged
|
| pubmed:year |
1989
|
| pubmed:articleTitle |
Indications for cholangioscopy.
|
| pubmed:affiliation |
Centre Médico-Chirurgical de l'Alma, Paris.
|
| pubmed:publicationType |
Journal Article
|