[Value of the endoscopic sphinctero-papillotomy by surgical radiocholangiodebitometry].
First results of a prospective study about behavior evaluation of endoscopic sphincterotomy of the ampulla of Vater (EPE) through a serial surgical debitometric (RCDM) assessment are analyzed. Five patients submitted to an EPE looking for a biliary tract decompression because of clinical reasons, prior their surgical cholecystectomy, are comparatively evaluated by serial RCDM with regard to 24 patients receiving a broad transduodenal sphincteroplasty (EPTD). Normal debitometric values (N greater than or equal to 13 cc/min.) were obtained from a sample of 673 surgically explored patients. Debitometric behavior of EPE were comparable in all cases and over our standard (mean = 18.6 +/- 2.3 cc/min.); they showed no differences to surgical EPTD patients (x = 18.3 +/- 2.0 cc/min.). Despite uniform results in the EPE group, a more extensive sample is necessary for definitive conclusions; serial surgical RCDM in patients who received EPE, in spite of limited indications, seems to be a valuable method to analyze early functional events after the procedure.
Castilla
C
C
Catedra de Gastroenterologia de Postgrado Facultad de Medicina, Universidad de la Plata, Argentina.
Jmelnitzky
A
A
Chopita
N
N
Belloni
P
P
Landoni
N
N
D000328:Adult; D000368:Aged; D014670:Ampulla of Vater / Q000503:physiopathology* / Q000601:surgery; D001660:Biliary Tract Diseases / Q000175:diagnosis / Q000601:surgery*; D002763:Cholecystectomy; D004724:Endoscopy; D005260:Female; D042882:Gallstones / Q000601:surgery; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D008365:Manometry; D008875:Middle Aged; D011182:Postoperative Care; D011312:Pressure; D011446:Prospective Studies; D012212:Rheology; D009803:Sphincter of Oddi / Q000503:physiopathology*; D013105:Sphincterotomy, Transduodenal
Valoración de la esfinteropapilotomía endoscópica (EPE) mediante radiocolangiodebitometría operatoria (rcdm).