亜硝酸剤の胆管内投与と内視鏡的乳頭バルーン拡張術の併用による経乳頭的胆管結石除去術

DOI 被引用文献4件 参考文献15件

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  • Study of Endoscopic papillary balloon dilation (EPBD) for extraction of common bile duct stones with direct infusion of isosorbide dinitrate into the bile duct

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During December 1995 and November 1996, EPBD with direct infusion of isosorbide dinitrate in to the bile duct was performed in 13 patients. In 3 or 5 minutes after the direct infusion of isosorbide dinitrate, we smoothly could insert a ballon-tipped biliary catheter into the common bile duct with relaxation of the sphincter of Oddi. All stones were completely removed at first or second process.<BR>As for the complications of papillary balloon dilation, pancreatitis was observed in 3 patients and cholangitis in 1 patient. However these complications were recoverd with conservative medication in short term.<BR>This technique was useful for the extraction of common bile duct stones, the prevention of hemorrhage and preservation of Oddi′s function.

収録刊行物

  • Tando

    Tando 11 (3), 285-291, 1997

    Japan Biliary Association

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