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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1991-3-6
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pubmed:abstractText |
The papilla of Vater and its sphincter of Oddi, lying at the confluence of the bile and pancreatic ducts in man, have long been suspected as a source of upper abdominal pain. Enlarging the opening of the transpapillary segment of the bile and major pancreatic ducts by using a transduodenal sphincteroplasty with transampullary septectomy resulted in death in a patient with a peripapillary diverticulum and pancreas divisum. Eight-six patients followed for 1 to 10 years experienced a 75% success rate. Thirty-six patients had a marked stenosis of their duct of Wirsung, suggesting that their pain was primarily from the pancreas. The remainder had either a generalized narrowing (40 patients) or a normal (7 patients) papilla. Pain was not satisfactorily resolved in patients with an associated pancreas divisum, chronic pancreatitis, and recurrent episodes of acute pancreatitis with alcoholism.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0002-9610
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
161
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
213-8
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1990874-Abdominal Pain,
pubmed-meshheading:1990874-Adult,
pubmed-meshheading:1990874-Ampulla of Vater,
pubmed-meshheading:1990874-Cholangitis,
pubmed-meshheading:1990874-Cholecystectomy,
pubmed-meshheading:1990874-Constriction, Pathologic,
pubmed-meshheading:1990874-Female,
pubmed-meshheading:1990874-Follow-Up Studies,
pubmed-meshheading:1990874-Humans,
pubmed-meshheading:1990874-Methods,
pubmed-meshheading:1990874-Middle Aged,
pubmed-meshheading:1990874-Postoperative Complications,
pubmed-meshheading:1990874-Sphincterotomy, Transhepatic
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pubmed:year |
1991
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pubmed:articleTitle |
Transduodenal sphincteroplasty with transampullary septectomy for stenosing papillitis.
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pubmed:affiliation |
Department of Surgery, University of Texas Medical School, Houston 77030.
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pubmed:publicationType |
Journal Article
|