After the selection of the cases, patients were evaluated for the presence or absence of contributing factors like age, gender, cannulation attempts, cannulation time, percutaneous papillotomy
, pancreatic duct contrast injection and previous history of post ERCP pancreatitis.
Out of which one was Strassburg type A, which was managed by papillotomy
and stent placement.
and stone extraction from the common bile duct was performed in both patients.
Several techniques including the use of papillotomes, placement of a pancreatic guidewire, and precut papillotomy
have been used to improve cannulation rate [1-3].
Needle knife papillotomy
for an impacted common bile duct stone during pregnanc y.
for removal of common bile duct stones without cholecystectomy.
He underwent an Endoscopic retrograde cholangiopancreatography (ERCP) to clear a single stone from the common bile duct and a papillotomy
Abdominal ultrasonography was not diagnostic (no correct test) in five patients with critical abdominal disorders (thrombosis of superior mesenteric artery with gut ischaemia/infarction in cardiogenic shock supported with intra-aortic balloon pump; haemothorax was interpreted as chronic fluid using echo in a patient with liver cirrhosis; thrombosis of the superior mesenteric artery with gut ischemia/infarction in a patient with septic shock of unknown origin; intra-abdominal haemorrhage after endoscopic papillotomy
in a septic patient with acute cholangitis; acute necrotising pancreatitis in distributive shock).
Early treatment of acute biliary pancreatitis by endoscopic papillotomy
Current options for the initial management of common bile duct stones include endoscopic papillotomy
and retrograde extraction, laparoscopic removal at the time of cholecystectomy, and conventional open common bile duct exploration.
compatible with Billroth II anatomy of the stomach Operator 1 September 4, 12
Side viewing endoscopy showed an ulceronodular growth at papilla, a papillotomy
and endoscopic biliary plastic stenting was done.