Sa1439 EFFICACY AND SAFETY OF FISTULOTOMY FOR BILIARY DRAINAGE IN PATIENTS WITH CANCER OF THE AMPULLA OF THE VATER
For biliary drainage in patients with cancer of the ampulla of the Vater (AV), selective bile duct cannulation is often difficult due to tumors on the orifice of the AV. Bleeding after endoscopic sphincterotomy on the tumor and post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP) should be prevented. Endoscopic ultrasound (EUS)-guided biliary drainage is not recommended for Preoperative biliary drainage in these patients. We easily achieved successful biliary drainage by endoscopic fistulotomy in a patient with a dilated bile duct causing oral AV protrusion after unsuccessful transpapillary bile duct cannulation.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Soichiro Kawahara, Toru Ueki, Koichiro Tsutsumi Tags: Saturday abstract Source Type: research
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