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[PMID]:29241851
[Au] Autor:Costamagna G
[Ad] Endereço:Digestive Endoscopy Unit, Fondazione Policlinico A. Gemelli, Università Cattolica, Rome, Italy; IHU-USIAS University of Strasbourg, Strasbourg, France.
[Ti] Título:Sphincter of Oddi dysfunction: the never-ending story has come to a conclusion.
[So] Source:Gastrointest Endosc;87(1):211-212, 2018 01.
[Is] ISSN:1097-6779
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Disfunção do Esfíncter da Ampola Hepatopancreática
Esfíncter da Ampola Hepatopancreática
[Mh] Termos MeSH secundário: Doenças do Ducto Colédoco
Seres Humanos
Manometria
[Pt] Tipo de publicação:EDITORIAL; COMMENT
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180212
[Lr] Data última revisão:
180212
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171216
[St] Status:MEDLINE


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[PMID]:28548201
[Au] Autor:Berger Z; Arcos M; Matamala F; Rojas C
[Ad] Endereço:Clínica Dávila, Santiago, Chile.
[Ti] Título:[Morphine induced biliary pain. Case report].
[Ti] Título:Cólico biliar inducido por morfina..
[So] Source:Rev Med Chil;145(3):406-409, 2017 Mar.
[Is] ISSN:0717-6163
[Cp] País de publicação:Chile
[La] Idioma:spa
[Ab] Resumo:Morphine produces contraction of Oddi’s sphincter, which can be severe and of longer duration in some pathological conditions. This exaggerated response can manifest as a colicky biliary pain, frequently accompanied by a dramatic increase in hepatic enzymes. We report a 32 years old female who consulted in the emergency room for severe low abdominal pain of gynecologic origin, which was completely controlled by morphine. However, she presented a sudden epigastric colicky pain irradiating in the back, which persisted for several hours in spite of the repeated administration of analgesics. Transaminases elevated from previously normal value to over 1,000 U/L, and returned to the normal level without further treatment after several days. Magnetic resonance cholangiography showed normal fine bile duct, without stones. This transient increase in hepatic enzymes was considered as a consequence of high biliary pressure secondary to morphine-induced spastic contraction of Oddi’s sphincter and a consecutive hepatocellular necrosis.
[Mh] Termos MeSH primário: Dor Abdominal/induzido quimicamente
Doenças do Ducto Colédoco/induzido quimicamente
Morfina/efeitos adversos
Esfíncter da Ampola Hepatopancreática/efeitos dos fármacos
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Morfina/uso terapêutico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
76I7G6D29C (Morphine)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170808
[Lr] Data última revisão:
170808
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170527
[St] Status:MEDLINE


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[PMID]:28344051
[Au] Autor:Ponsky JL; Jones N; Rodriguez JH; Kroh MD; Strong AT
[Ad] Endereço:Department of General Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH; Lerner College of Medicine of Case Western Reserve University, Cleveland, OH. Electronic address: ponskyj@ccf.org.
[Ti] Título:Massive Biliary Dilation after Roux-en-Y Gastric Bypass: Is it Ampullary Achalasia?
[So] Source:J Am Coll Surg;224(6):1097-1103, 2017 Jun.
[Is] ISSN:1879-1190
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This series of patients with a history of Roux-en-Y gastric bypass (RYGB) and cholecystectomy presented with symptoms consistent with obstructive biliary disease and massive biliary dilation of ≥15 mm, suggesting a structural cause. Findings from laparoscopic-assisted transgastric (TG) ERCP were a normal-appearing ampulla without structural lesions or stones, suggesting a functional cause instead. STUDY DESIGN: Patients who underwent TGERCP from January 2008 to October 2016 and had a surgical history of RYGB and cholecystectomy were identified from an institutional database. Inclusion criteria was biliary dilation ≥15 mm, age 18 years or older, and no explanatory obstructive pathology. RESULTS: Nine female patients met the inclusion criteria. At time of TGERCP, their mean age was 53.9 years, mean BMI was 32.5 kg/m , mean bile duct diameter was 18.1 mm, and all patients experienced abdominal pain. Six patients (66.7%) presented with abnormal liver enzymes, 5 (55.6%) with nausea and/or vomiting, and 4 (44.4%) with earlier episode(s) of acute pancreatitis. Each patient had a normal-appearing papilla of Vater without stones or strictures at the time of TGERCP, with 8 (88.9%) patients experiencing cessation of abdominal pain after biliary sphincterotomy. CONCLUSIONS: This cohort of patients with a history of RYGB and cholecystectomy presented with massively dilated biliary trees lacking an obstructive disease process and experienced immediate symptom improvement after sphincterotomy. Their surgical history predisposed them to vagal nerve injury, leading to denervation of the sphincter of Oddi, and resulting in tonic contraction of the ampulla, that is, ampullary achalasia.
[Mh] Termos MeSH primário: Ampola Hepatopancreática
Colecistectomia/efeitos adversos
Doenças do Ducto Colédoco/etiologia
Derivação Gástrica/efeitos adversos
Complicações Pós-Operatórias/etiologia
[Mh] Termos MeSH secundário: Adulto
Ampola Hepatopancreática/patologia
Doenças do Ducto Colédoco/patologia
Dilatação Patológica
Feminino
Seres Humanos
Meia-Idade
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170815
[Lr] Data última revisão:
170815
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170328
[St] Status:MEDLINE


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[PMID]:28317690
[Au] Autor:Suarez AL; Coté GA
[Ad] Endereço:Division of Gastroenterology & Hepatology, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.
[Ti] Título:Can we preserve sphincter of Oddi function by avoiding sphincterotomy? Do we want to?
[So] Source:Gastrointest Endosc;85(4):791-793, 2017 04.
[Is] ISSN:1097-6779
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Esfíncter da Ampola Hepatopancreática
Esfinterotomia Endoscópica
[Mh] Termos MeSH secundário: Doenças do Ducto Colédoco
Manometria
[Pt] Tipo de publicação:EDITORIAL; COMMENT
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170321
[St] Status:MEDLINE


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[PMID]:27606949
[Au] Autor:Chen L; Xia L; Lu Y; Bie L; Gong B
[Ad] Endereço:aDepartment of Gastroenterology, Digestive Endoscopy Center, Ruijin Hospital, Shanghai Jiaotong University School of Medicine bDigestive Endoscopy Center, Shanghai International Medical Center, Shanghai cDigestive Endoscopy Center, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
[Ti] Título:Influence of periampullary diverticulum on the occurrence of pancreaticobiliary diseases and outcomes of endoscopic retrograde cholangiopancreatography.
[So] Source:Eur J Gastroenterol Hepatol;29(1):105-111, 2017 Jan.
[Is] ISSN:1473-5687
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND AIM: Periampullary diverticulum (PAD) is frequently encountered in patients undergoing endoscopic retrograde cholangiopancreatography (ERCP). The aim of this study was to investigate the association of PAD with pancreaticobiliary diseases as well as the impact of PAD on the technical success of ERCP and different methods of bile duct stone extraction. PATIENTS AND METHODS: A total of 1489 cases of patients with PAD were identified from 6390 patients who underwent ERCP. These patients were compared with 1500 controls without PAD in terms of biliary stone formation, technical success, and complications of ERCP. RESULTS: Patients with PAD had increased prevalence of bile duct stones, gallstones, and cholangitis (P<0.01). Successful cannulation rates were similar in the PAD and the control group (98.59 vs. 99.07%, P=0.225). The incidence of complications did not differ between the PAD and the control group. Successful stone removal rate of endoscopic sphincterotomy (EST) was lower in the PAD group than in the control group (83.53 vs. 94.31%, P=0.005). In patients with PAD, the rate of successful stone removal was lower in the EST group than in the endoscopic papillary balloon dilation (EPBD) and EPBD combined with limited EST (ESBD) group. The rates of complications were similar among different treatments (EST, EPBD, or ESBD) in patients with PAD. CONCLUSION: PAD is associated with bile duct stones, gallstones, and cholangitis. In addition, PAD should not be considered a barrier to a successful cannulation. Moreover, EST is less effective than EPBD and ESBD in patients with PAD, whereas EST, EPBD, and ESBD are equally safe in patients with PAD.
[Mh] Termos MeSH primário: Ampola Hepatopancreática
Colangiopancreatografia Retrógrada Endoscópica
Colangite/terapia
Colelitíase/terapia
Doenças do Ducto Colédoco/epidemiologia
Divertículo/epidemiologia
Cálculos Biliares/terapia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Ampola Hepatopancreática/diagnóstico por imagem
China/epidemiologia
Colangiopancreatografia Retrógrada Endoscópica/efeitos adversos
Colangiopancreatografia Retrógrada Endoscópica/métodos
Colangite/diagnóstico por imagem
Colangite/epidemiologia
Colelitíase/diagnóstico por imagem
Colelitíase/epidemiologia
Doenças do Ducto Colédoco/diagnóstico por imagem
Dilatação
Divertículo/diagnóstico por imagem
Feminino
Cálculos Biliares/diagnóstico por imagem
Cálculos Biliares/epidemiologia
Seres Humanos
Incidência
Masculino
Meia-Idade
Seleção de Pacientes
Prevalência
Estudos Retrospectivos
Fatores de Risco
Esfinterotomia Endoscópica
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160909
[St] Status:MEDLINE


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[PMID]:27597425
[Au] Autor:Cheon YK; Lee TY; Kim SN; Shim CS
[Ad] Endereço:Digestive Disease Center, Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea.
[Ti] Título:Impact of endoscopic papillary large-balloon dilation on sphincter of Oddi function: a prospective randomized study.
[So] Source:Gastrointest Endosc;85(4):782-790.e1, 2017 Apr.
[Is] ISSN:1097-6779
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND AIMS: Endoscopic papillary balloon dilation (≤8 mm in diameter) preserves sphincter of Oddi (SO) function. However, it is still unknown whether papillary function is preserved after endoscopic papillary large-balloon dilation (EPLBD, ≥12 mm in diameter). We investigated SO function after EPLBD with or without endoscopic sphincterotomy (EST) by endoscopic manometry, up to 1 year after the procedure. METHODS: This was a prospective randomized study involving patients with bile duct stones ≥12 mm. Eighty-six patients who met the inclusion criteria were assigned randomly to either EPLBD alone or EST with EPLBD, and endoscopic manometric studies were performed. The primary outcome was comparison of the manometric data between the 2 groups and within each group both 1 week and 1 year after the procedure. RESULTS: One week after EPLBD alone and EST with EPLBD, the basal pressure of SO dropped from 30.4 (8.2) to 6.4 (8.4) mm Hg (P < .001) and 29.5 (18.9) to 2.9 (3.6) mm Hg (P < .001), respectively. SO function was not recovered at 1 year; the manometric measurements were similar to those taken at the 1-week time point in both groups. Similar outcomes were obtained in patients with EPLBD alone compared with those with EST and EPLBD, including the initial stone clearance rate (95.2% vs 97.7%, P = .612), the frequency of mechanical lithotripsy (21.4% vs 13.6%), and overall adverse events (11.9% vs 13.6%, P = 1.0) including the rate of pancreatitis after the procedure (7.1% vs 11.4%, P = .714). During an overall median follow-up of 17.8 months, the recurrence rate of bile duct stones was 16.7% in patients who underwent EPLBD alone and 15.9% in patients who underwent EST with EPLBD (P = .924). CONCLUSIONS: Both EPLBD alone and EST + EPLBD resulted in persistent and comparable loss of SO function after 1 year. EPLBD alone has similar efficacy and safety to those of EST with EPLBD with respect to removal of large stones.
[Mh] Termos MeSH primário: Coledocolitíase/cirurgia
Doenças do Ducto Colédoco/epidemiologia
Dilatação/métodos
Complicações Pós-Operatórias/epidemiologia
Esfíncter da Ampola Hepatopancreática/fisiopatologia
Esfinterotomia Endoscópica/métodos
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Colangiopancreatografia Retrógrada Endoscópica/métodos
Doenças do Ducto Colédoco/fisiopatologia
Endoscopia do Sistema Digestório
Feminino
Seres Humanos
Litotripsia/métodos
Masculino
Manometria
Meia-Idade
Pancreatite/epidemiologia
Complicações Pós-Operatórias/fisiopatologia
Modelos de Riscos Proporcionais
Recidiva
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171028
[Lr] Data última revisão:
171028
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160907
[St] Status:MEDLINE


  7 / 2839 MEDLINE  
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[PMID]:28133323
[Au] Autor:Yamada Y; Shiozawa S; Usui T; Kuhara K; Kouno T; Asaka S; Yamaguchi K; Yokomizo H; Shimakawa T; Yoshimatsu K; Katsube T; Naritaka Y
[Ad] Endereço:Dept. of Surgery, Tokyo Women's Medical University Medical Center East.
[Ti] Título:[Neuroendocrine Tumor of the Ampulla of Vater and Gastrointestinal Stromal Tumor of the Duodenum in a Patient with Von Recklinghausen's Disease].
[So] Source:Gan To Kagaku Ryoho;43(12):2365-2367, 2016 Nov.
[Is] ISSN:0385-0684
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:A 57-year-old woman with von Recklinghausen's disease presented with epigastralgia. Gastroduodenoscopy revealed swelling of the ampulla of Vater in the ventral and caudal direction, forming a hard, elastic mass. She was diagnosed with a tumor of the ampulla of Vater, and a subtotal stomach-preserving pancreaticoduodenectomy and D2 lymph node dissection were performed. The isolated specimen showed an intra-ampullary tumor of the ampulla of Vater and a submucosal tumor in the descending duodenum, which were diagnosed as a somatostatin-producing neuroendocrine tumor and gastrointestinal stromal tumor, respectively, on pathological examination. We believe that the neuroendocrine tumor of the ampulla of Vater and gastrointestinal stromal tumor of the duodenum are common gastrointestinal lesions in von Recklinghausen's disease.
[Mh] Termos MeSH primário: Ampola Hepatopancreática/patologia
Neoplasias dos Ductos Biliares/patologia
Carcinoma Neuroendócrino
Doenças do Ducto Colédoco/patologia
Neoplasias Duodenais/patologia
Tumores do Estroma Gastrointestinal
Neurofibromatose 1/complicações
[Mh] Termos MeSH secundário: Ampola Hepatopancreática/cirurgia
Neoplasias dos Ductos Biliares/complicações
Neoplasias dos Ductos Biliares/cirurgia
Carcinoma Neuroendócrino/complicações
Carcinoma Neuroendócrino/cirurgia
Doenças do Ducto Colédoco/complicações
Doenças do Ducto Colédoco/cirurgia
Neoplasias Duodenais/complicações
Neoplasias Duodenais/cirurgia
Feminino
Tumores do Estroma Gastrointestinal/complicações
Tumores do Estroma Gastrointestinal/cirurgia
Seres Humanos
Meia-Idade
Neoplasias Primárias Múltiplas/patologia
Neoplasias Primárias Múltiplas/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170131
[St] Status:MEDLINE


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[PMID]:27828866
[Au] Autor:Tang R; Zhao WP; Zhang YN; Tong X; Zeng JP
[Ad] Endereço:Department of Hepatopancreatobiliary Surgery, Beijing Tsinghua Changgung Hospital, Tsinghua University Medical Center, Beijing, China.
[Ti] Título:Cholesterol polyps in the distal common bile duct: a case report.
[So] Source:Medicine (Baltimore);95(45):e5374, 2016 Nov.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Cholesterol polyps are rare in the common bile duct and difficult to diagnose. PATIENT CONCERNS: The small polypoid lesions often go undetected when using routine imaging methods, such as ultrasonography. DIAGNOSES: We treated a patient with cholesterol polyps in the common bile duct. After failing to detect choleliths using ultrasonography, magnetic resonance cholangiopancreatography revealed mild dilation of the common bile duct. Choledochoscopy was performed during laparoscopic cholecystectomy, which revealed yellowish-white polyps circumferentially distributed across the luminal surface of the distal common bile duct. Histological examination of biopsy specimens indicated cholesterol polyps with characteristic foamy cells. INTERVENTIONS: The patient was treated with ursodeoxycholic acid, and the number of polyps was found to have been reduced at the 6-week follow-up based on T-tube choledochoscopic examination. OUTCOMES: Recovery was unremarkable, and the ursodeoxycholic acid treatment was discontinued at the 6-month follow-up. LESSONS SUBSECTIONS: Our findings suggest that this rare condition can be treated pharmacologically to avoid potential postsurgical complications following resection of the distal common bile duct.
[Mh] Termos MeSH primário: Colesterol
Doenças do Ducto Colédoco
Pólipos
[Mh] Termos MeSH secundário: Colesterol/análise
Doenças do Ducto Colédoco/diagnóstico
Doenças do Ducto Colédoco/cirurgia
Feminino
Seres Humanos
Meia-Idade
Pólipos/química
Pólipos/diagnóstico
Pólipos/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
97C5T2UQ7J (Cholesterol)
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170224
[Lr] Data última revisão:
170224
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161110
[St] Status:MEDLINE


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[PMID]:27512909
[Au] Autor:Hogan NM; Dorcaratto D; Hogan AM; Nasirawan F; McEntee P; Maguire D; Geoghegan J; Traynor O; Winter DC; Hoti E
[Ad] Endereço:St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
[Ti] Título:Iatrogenic common bile duct injuries: Increasing complexity in the laparoscopic era: A prospective cohort study.
[So] Source:Int J Surg;33 Pt A:151-6, 2016 Sep.
[Is] ISSN:1743-9159
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Iatrogenic bile duct injury (BDI) is the most significant associated complication to laparoscopic cholecystectomy (LC). Little is known about the evolution of the pattern of BDI in the era of laparoscopy. The aim of the study is to assess the pattern of post-LC BDIs managed in a tertiary referral centre. METHODS: Post-LC BDI referred over two decades were studied. Demographic data, type of BDI (classified using the Strasberg System), clinical symptoms, diagnostic investigations, timing of referral, post-referral management and morbidity were analysed. The pattern of injury, associated vascular injuries rate and their management were compared over two time periods (1992-2004,2005-2014). RESULTS: 78 BDIs were referred. During the second time period Strasberg A injuries decreased from 14% to 0 and Strasberg E1increased from 4% to 23%, the rate of associated vascular injury was six time higher (3.6% versus 22.7%), more patients had an attempted repair at the index hospital (16% versus 35%) sand fewer patients could be managed without surgical intervention at the referral hospital (28% versus 4%). CONCLUSION: Complexity of referred BDIs and rate of associated vascular injuries have increased over time. These findings led to more patients managed requiring surgical intervention at the referral hospital.
[Mh] Termos MeSH primário: Colecistectomia Laparoscópica/efeitos adversos
Doenças do Ducto Colédoco/etiologia
Ducto Colédoco/lesões
Doenças da Vesícula Biliar/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Estudos de Coortes
Feminino
Seres Humanos
Doença Iatrogênica
Masculino
Meia-Idade
Encaminhamento e Consulta
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170124
[Lr] Data última revisão:
170124
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160812
[St] Status:MEDLINE


  10 / 2839 MEDLINE  
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[PMID]:27446851
[Au] Autor:Takano Y; Nagahama M; Yamamura E; Maruoka N; Takahashi H
[Ad] Endereço:Division of Gastroenterology, Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama, Kanagawa 227-8501, Japan.
[Ti] Título:Perforation of the Papilla of Vater in Wire-Guided Cannulation.
[So] Source:Can J Gastroenterol Hepatol;2016:5825230, 2016.
[Is] ISSN:2291-2797
[Cp] País de publicação:Egypt
[La] Idioma:eng
[Ab] Resumo:Background. WGC in ERCP is considered a safe technique, although rare complications can occur. One unique complication of WGC is the perforation of the papilla of Vater by the guidewire. Subjects and Methods. Of 2032 patients who underwent ERCP at our department between January 2010 and December 2014, we selected 208 patients who underwent WGC for naïve papilla as subjects. A detailed examination of patients in whom a perforation occurred was conducted, and risk factors for perforations were investigated. Results. The perforation was observed in 7 of 208 patients (3.4%). All patients recovered with conservative treatment without the need for surgery. The perforation rate was significantly higher in the patients with juxtapapillary duodenal diverticula than those without diverticula (12.5% versus 0.6%, p < 0.001). Cannulation of the bile duct was ultimately achieved in 5 of 7 patients; PSP was performed for 4 of these patients. Conclusion. Caution must be exercised when dealing with patients who have a juxtapapillary duodenal diverticula because they are at higher risk of perforations. Because these are small perforations made by a wire, most of them heal with conservative treatment. However, perforations can make cannulation difficult, and PSP may be useful for deep cannulation.
[Mh] Termos MeSH primário: Ampola Hepatopancreática/lesões
Cateterismo/efeitos adversos
Colangiopancreatografia Retrógrada Endoscópica/efeitos adversos
Doenças do Ducto Colédoco/etiologia
Complicações Pós-Operatórias
[Mh] Termos MeSH secundário: Idoso
Ampola Hepatopancreática/cirurgia
Cateterismo/instrumentação
Cateterismo/métodos
Colangiopancreatografia Retrógrada Endoscópica/métodos
Doenças do Ducto Colédoco/epidemiologia
Divertículo/complicações
Duodenopatias/complicações
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160723
[St] Status:MEDLINE
[do] DOI:10.1155/2016/5825230



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