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[Intra-operative identification of the ostium of Wirsung's pancreatic duct after papillosphincterotomy].
Rev Assoc Med Bras (1992) 1999 Apr-Jun; 45(2):99-104RA

Abstract

PURPOSE

The aim of this study is to suggest a feasible method to find the ostium of the Wirsung's duct during sphincteroplasty of the Vater's papilla, in order to avoid post-operative complications such as acute pancreatitis.

PATIENTS AND METHODS

A total of 27 patients were submitted to sphincteroplasty for choledocolithiasis with or without Odditis. After therapeutic papillotomy and sphincterotomy through the duodenun, the location of the ostium of the Wirsung's duct was determined and studied. After papillotomy, the Vater's papilla becomes an isosceles triangle and its measurements were made with a compass. Thereby the ostium of Wirsung's duct was easily detected and a catheter was inserted before the suture of the mucosa of the papilla.

RESULTS

The ostium was generally found medially, on the left side of the triangle, 0.19 cm to 0.25 cm on average above its base whether there was inflammation or not, respectively.

CONCLUSION

The transoperative determination of the dimensions as proposed in this study, allows a safety detection and cannulation of the Wirsung's duct with or without inflammation of the Oddi's sphincter.

Authors+Show Affiliations

Departamento de Cirurgia da Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

por

PubMed ID

10413911

Citation

da Silva, A L., et al. "[Intra-operative Identification of the Ostium of Wirsung's Pancreatic Duct After Papillosphincterotomy]." Revista Da Associacao Medica Brasileira (1992), vol. 45, no. 2, 1999, pp. 99-104.
da Silva AL, Vieira MI, de Souza IK, et al. [Intra-operative identification of the ostium of Wirsung's pancreatic duct after papillosphincterotomy]. Rev Assoc Med Bras (1992). 1999;45(2):99-104.
da Silva, A. L., Vieira, M. I., de Souza, I. K., & de Menezes, L. M. (1999). [Intra-operative identification of the ostium of Wirsung's pancreatic duct after papillosphincterotomy]. Revista Da Associacao Medica Brasileira (1992), 45(2), pp. 99-104.
da Silva AL, et al. [Intra-operative Identification of the Ostium of Wirsung's Pancreatic Duct After Papillosphincterotomy]. Rev Assoc Med Bras (1992). 1999;45(2):99-104. PubMed PMID: 10413911.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Intra-operative identification of the ostium of Wirsung's pancreatic duct after papillosphincterotomy]. AU - da Silva,A L, AU - Vieira,M I, AU - de Souza,I K, AU - de Menezes,L M, PY - 1999/7/22/pubmed PY - 1999/7/22/medline PY - 1999/7/22/entrez SP - 99 EP - 104 JF - Revista da Associacao Medica Brasileira (1992) JO - Rev Assoc Med Bras (1992) VL - 45 IS - 2 N2 - PURPOSE: The aim of this study is to suggest a feasible method to find the ostium of the Wirsung's duct during sphincteroplasty of the Vater's papilla, in order to avoid post-operative complications such as acute pancreatitis. PATIENTS AND METHODS: A total of 27 patients were submitted to sphincteroplasty for choledocolithiasis with or without Odditis. After therapeutic papillotomy and sphincterotomy through the duodenun, the location of the ostium of the Wirsung's duct was determined and studied. After papillotomy, the Vater's papilla becomes an isosceles triangle and its measurements were made with a compass. Thereby the ostium of Wirsung's duct was easily detected and a catheter was inserted before the suture of the mucosa of the papilla. RESULTS: The ostium was generally found medially, on the left side of the triangle, 0.19 cm to 0.25 cm on average above its base whether there was inflammation or not, respectively. CONCLUSION: The transoperative determination of the dimensions as proposed in this study, allows a safety detection and cannulation of the Wirsung's duct with or without inflammation of the Oddi's sphincter. SN - 0104-4230 UR - https://www.unboundmedicine.com/medline/citation/10413911/[Intra-operative_identification_of_the_ostium_of_Wirsung's_pancreatic_duct_after_papillosphincterotomy] DB - PRIME DP - Unbound Medicine ER -