Simmons T C, Gletten F, Henderson D R
J Natl Med Assoc. 1989 Apr;81(4):421-9.
One hundred twenty-one patients with extrahepatic biliary obstruction underwent endoscopic sphincterotomy (EST). This was followed by balloon occlusion catheter or dormia basket stone extraction in 106 patients with choledocholithiasis, and by transpapillary biliary endoprosthesis placement in 15 patients with malignant distal common bile duct obstruction. All patients had excellent biliary decompression. Complications not requiring surgical intervention were seen in six patients. This article shows that EST is a low-risk, effective therapy for benign and malignant extrahepatic biliary obstruction.
121例肝外胆管梗阻患者接受了内镜括约肌切开术（EST）。随后，106例胆总管结石患者接受了球囊阻塞导管或取石篮取石，15例远端胆总管恶性梗阻患者接受了经乳头胆管内支架置入术。所有患者均实现了良好的胆道减压。6例患者出现了无需手术干预的并发症。本文表明，EST是治疗良性和恶性肝外胆管梗阻的一种低风险、有效的疗法。
