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Endoscopic sphincterotomy of the pancreatic duct technique and security



Endoscopic sphincterotomy of the pancreatic duct technique and security



Gastroenterological Endoscopy 27(1): 79-84



Endoscopic sphincterotomy of the pancreatic duct (EST-PD) was performed in 9 cases of diffuse chronic pancreatitis for non-operative treatment and in 2 cases of pancreatic carcinoma for transpapillary biopsy. Widening of pancreatic orifice by EST-PD was done, followed regular endoscopic sphincterotomy (EST) in the same way of EPT; 10 of 11 were successful without severe complications. In 6 cases of chronic pancreatitis, clinical symptoms were improved by EST-PD; in 2 of these cases, pancreatic stones were extracted by basket catheter. Endoscopic biopsy of pancreatic carcinoma has not yet been successful by this new procedure. EST-PD evidently is a safe procedure in cases with diffuse chronic pancreatitis associated with fibrosis at the pancreatic head. This procedure will be expected as a new endoscopic treatment of chronic pancreatitis in the near future.

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Accession: 005359620

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