AN EVALUATION OF TRANSDUODENAL PAPILLOPLASTY IN 50 CASES
スポンサーリンク
概要
- 論文の詳細を見る
130 cases of Transduodenal Papilloplasty (TDP) were performed in the Institute of Gastroenterology, Tokyo Women's Medical College since 1969.This operation was mainly indicated to the benign papillary stenosis c/s gall stones. Our preference in this procedure is to excise the upper part of the papillary area and to make sutures between the duodenal mucosa and the common bile duct. 50 patients were followed up to see any postoperative changes along biliary system mainly from the view point of clinical aspects and ERCP.Results are following:1. The results of this operation was not satisfactory in 8 patients among 50 (16%).2. There is a statisticaly significant correlation between the diameter of the biliary orifice and the length of papillary excision.3. Above results indicated that the length of excision should be over 25mm.4. There was no recurrent or remnant stones.5. Well-indicated, well-excised TDP may lead to the good results.
- 財団法人 日本消化器病学会の論文