Endoscopic retrograde cholangiodilatation: A preliminary report

摘要: Figure 3. Sequential films of Fogarty balloon passing through a strictured common bile duct: (a) proximal to stricture, (b) entering (c) deformed by and (d) distal stricture. duct stones endoscopically has been reported.a The positioning an indwelling catheter at the time endoscopy described.'°Recently, Burhenne3 presented nonsurgical dilation stricture aT-tube To our knowledge, attempt dilate not reported. share initial experience is purpose this communication. CASE REPORT A 65-year-old woman with obstructive jaundice had choledochoduodenostomy 23 years earlier. Endoscopic retrograde cholangiography demonstrated tight (Figure 1). Using 5 French outrigged front-viewing Olympus GIF-D panendoscope 2), was cannulated, inflated pulled several times. At fluoroscopy, observed deform as it passed 3). Its compressibility did allow achieve maximum dilatation. patient experienced no discomfort or complication. time, satisfactory available. treated surgically 2 weeks later. DISCUSSION Strictures in biliary ducts are uncommon may be associated calculi, previous surgery, cholangitis, pancreatitis. Sphincteroplasty often performed correct obstruction. Analysis surgical literature reveals that these procedures on elderly, poor risk patients who have multiple pancreatic operations.',7,1l,15 Postoperative complications Timothy G. Lee, MD* Ronald Katon, MD Patrick C. Freeny, Sidney Henderson, Marcia K. Bilbao, University Oregon Health Sciences Center Departments Radiology Internal Medicine (Division Gastroenterology) Portland,