[1-step endoscopic laser papillosphincterotomy with endoscopic biliary drainage].
Two patients with obstructive jaundice are presented. They had cancer of the large duodenal papilla and choledocholithiasis with edema and deformity of the papilla. Endoscopic laser papillosphincterotomy with "Nd-YAG" laser and one-step endoscopic biliary drainage--endoprosthesis of the common bile duct and naso-labial drainage, respectively--were performed. The importance of laser papillotomy in patients, in whom electropapillotomy can not be accomplished or will not give satisfactory results, is emphasized. Analysis is made of the periodic medical literature on this problem. Report is made for the first time on combining two endoscopic methods--laser photocoagulation and endoprosthesis in benign and in malignant stenoses of the papilla, realized in one act.
B
B
Vladimirov
S
S
Keranov
I
I
Viiachki
I
I
Iordanov
D000368:Aged; D002779:Cholestasis / Q000209:etiology / Q000601:surgery; D003135:Common Bile Duct / Q000601:surgery*; D004322:Drainage / Q000295:instrumentation / Q000379:methods*; D020698:Duodenoscopes; D004384:Duodenoscopy / Q000379:methods; D005260:Female; D005336:Fiber Optic Technology / Q000295:instrumentation; D006801:Humans; D053685:Laser Therapy / Q000295:instrumentation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D013105:Sphincterotomy, Transduodenal / Q000295:instrumentation / Q000379:methods*
Ednoaktna endoskopska lazerna papilosfinkterotomiia s endoskopski biliaren drenazh.