Endoscopic Retrograde Cholangiography Through Artificial Cheledochoduodenal Fistula.
- Author:
Won Ho KIM
;
Si Young SONG
;
Jae Bock CHUNG
;
Jin Kyung KANG
;
Heung Jai CHOI
- Publication Type:Original Article
- MeSH:
Catheterization;
Cholangiography*;
Cholangiopancreatography, Endoscopic Retrograde;
Diathermy;
Diverticulum;
Fistula*;
Humans;
Needles;
Pancreatic Diseases;
Pathology
- From:Korean Journal of Gastrointestinal Endoscopy
1989;9(2):207-213
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Endoscopic retrograde cholangiopancreatography (ERCP) is one of the most useful diagnostic tool in biliary and pancreatic disease. However, ERCP cannot be performed successfully in all patients. Cannulation failure is the most common cause of failure of ERCP. Mechanical pathologies, such as peri-Vater diverticulum, cancer of the papilla of Vater, and impacted stone were the common causes of cannulation failure. We experienced two cases of carcinoma of the papilla of Vater in whom cholangiography and insertion of the nasobiliary tube were performed througth an artificial choledoehoduodenal fistula made by a needle type diathermy knife, beacuse cannulation to the duct was failed due to the tumor.
