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We report a method of endoscopic retrograde sphincterotomy in patients in whom the optimal viewing of the papilla of Vater is hardly obtained. Percutaneous transhepatic cholangiodrainage (PTCD)-tube is placed under ultrasonographic guidance. PTCD-tube coming out of the papilla of Vater is observed by the endoscope and the guide wire inside the shpincterotome is inserted into the PTCD-tube. Sphincterotome is advanced into the common bile duct by the guidance of the guide wire and PTCD-tube. Sphincterotomy is performed in a usual fashion. Two patients with previous history of gastrectomy underwent this procedure with successful results. This method should be tried when usual method of EST is difficult and unsuccessful.
J Matsuoka, and
K Kojima, and
M Kurose, and
K Takai, and
A Gochi, and
Y Kamikawa, and
N Tanaka, and
K Orita
January 1988,
Gastrointestinal endoscopy,
J Matsuoka, and
K Kojima, and
M Kurose, and
K Takai, and
A Gochi, and
Y Kamikawa, and
N Tanaka, and
K Orita
December 1990,
La Radiologia medica,
J Matsuoka, and
K Kojima, and
M Kurose, and
K Takai, and
A Gochi, and
Y Kamikawa, and
N Tanaka, and
K Orita
January 1991,
Endoscopy,
J Matsuoka, and
K Kojima, and
M Kurose, and
K Takai, and
A Gochi, and
Y Kamikawa, and
N Tanaka, and
K Orita
July 1977,
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde,
J Matsuoka, and
K Kojima, and
M Kurose, and
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A Gochi, and
Y Kamikawa, and
N Tanaka, and
K Orita
July 1986,
Minnesota medicine,
J Matsuoka, and
K Kojima, and
M Kurose, and
K Takai, and
A Gochi, and
Y Kamikawa, and
N Tanaka, and
K Orita
January 2020,
Case reports in gastrointestinal medicine,
J Matsuoka, and
K Kojima, and
M Kurose, and
K Takai, and
A Gochi, and
Y Kamikawa, and
N Tanaka, and
K Orita
June 1992,
The British journal of surgery,
J Matsuoka, and
K Kojima, and
M Kurose, and
K Takai, and
A Gochi, and
Y Kamikawa, and
N Tanaka, and
K Orita
December 1985,
Gut,
J Matsuoka, and
K Kojima, and
M Kurose, and
K Takai, and
A Gochi, and
Y Kamikawa, and
N Tanaka, and
K Orita
January 2013,
International journal of surgery (London, England),
J Matsuoka, and
K Kojima, and
M Kurose, and
K Takai, and
A Gochi, and
Y Kamikawa, and
N Tanaka, and
K Orita
December 2011,
Cardiovascular and interventional radiology,
