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Canadian Journal of Gastroenterology - Volume 4 1990, Issue 9, Pages 559-563

Biliary Tract and Pancreas New York University School of Medicine, New York, New York, USA



Copyright © 1990 Hindawi Publishing Corporation. This open-access article is distributed under the terms of the Creative Commons Attribution Non-Commercial License CC BY-NC http:-creativecommons.org-licenses-by-nc-4.0-, which permits reuse, distribution and reproduction of the article, provided that the original work is properly cited and the reuse is restricted to noncommercial purposes.

Abstract

Endoscopic sphincterotomy refers to the incision of the terminalportion of the biliary or pancreatic ducts by a variety of techniques, dependingon anatomic circumstances, goals and risks. Alternative methods include percutaneoustranshepatic or surgical techniques. The initial Erlangen method -complete sphinccerotomy - carried an unavoidable risk of perforation andhemorrhage. Fractional incision or -endoscopic papillotomy- incision of theinferior 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 aredescribed, and general electrosurgical principles discussed.





Author: DS Zimmon

Source: https://www.hindawi.com/



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