Dhir V, Swaroop V S, Mohandas K M, Jagannath P, Desouza L J
Division of Medical Gastroenterology, Tata Memorial Hospital, Mumbai.
Indian J Gastroenterol. 1997 Apr;16(2):52-3.
Precut papillotomy enhances the success of selective bile duct cannulation. Doubts have been raised about the relative safety of the procedure. This study was undertaken to assess the success rate and complications of precut papillotomy using a needle knife.
100 consecutive patients undergoing precut papillotomy for biliary endoprosthesis placement were studied. A needle knife was used in these patients after bile duct cannulation was not successful using other techniques. The success rate, complications and mortality were determined.
Selective bile duct cannulation was achieved in 65 patients. There were six complications: bleeding (3), pancreatitis (2), and perforation (1). One patient died following duodenal perforation. The success rate for endoprosthesis placement was increased by 14.2% following precut papillotomy.
Precut papillotomy enhances the success of selective bile duct cannulation, with complication rates similar to standard papillotomy.
预切开乳头括约肌术可提高选择性胆管插管的成功率。人们对该手术的相对安全性提出了质疑。本研究旨在评估使用针刀进行预切开乳头括约肌术的成功率及并发症。
对连续100例行预切开乳头括约肌术以放置胆道内支架的患者进行研究。在使用其他技术胆管插管未成功后，对这些患者使用针刀。确定成功率、并发症及死亡率。
65例患者实现了选择性胆管插管。有6例并发症：出血（3例）、胰腺炎（2例）和穿孔（1例）。1例患者因十二指肠穿孔死亡。预切开乳头括约肌术后，内支架置入成功率提高了14.2%。
预切开乳头括约肌术可提高选择性胆管插管的成功率，并发症发生率与标准乳头括约肌切开术相似。
