title: [Endoscopic choledochoduodenostomy in the treatment of impacted calculi in Vater's papilla].
abstract: 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.
authors.affiliation: Departamento de Medicina, Universidad de Alcalá, Hospital Ramón y Cajal, Madrid.
authors.forename: V F
authors.initials: VF
authors.lastname: Moreira
authors.forename: A L
authors.initials: AL
authors.lastname: San Román
authors.forename: E
authors.initials: E
authors.lastname: Meroño
authors.forename: R
authors.initials: R
authors.lastname: Arribas
authors.forename: M
authors.initials: M
authors.lastname: García
authors.forename: J P
authors.initials: JP
authors.lastname: Gisbert
mesh_terms: 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*
vernacular_title: La coledocoduodenostomía endoscópica en el tratamiento de los cálculos impactados en la papila de Vater.