[Endoscopic choledochoduodenostomy in the treatment of impacted calculi in Vater's papilla].
In a series of 204 patients with common duct stones, sphincterotomy was not possible in 10, due to an impacted stone in the papilla. An endoscopic choledocho-duodenostomy was performed which was effective in all cases. One patient suffered a retroperitoneal perforation which was managed medically. This technique is an effective alternative to sphincterotomy in the treatment of impacted papillary stones. Retroperitoneal perforation is a major risk to be taken into account.
Moreira
V F
VF
Departamento de Medicina, Universidad de Alcalá, Hospital Ramón y Cajal, Madrid.
San Román
A L
AL
Meroño
E
E
Arribas
R
R
García
M
M
Gisbert
J P
JP
D000368:Aged; D000369:Aged, 80 and over; D014670:Ampulla of Vater / Q000601:surgery*; D002768:Choledochostomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005260:Female; D042882:Gallstones / Q000150:complications / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012008:Recurrence; D016717:Sphincterotomy, Endoscopic / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*
La coledocoduodenostomía endoscópica en el tratamiento de los cálculos impactados en la papila de Vater.