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93 results
  • [Periampullar diverticulum--related to bilio-pancreatic disorders]. [Journal Article]
    Chirurgia (Bucur) 2010 Jan-Feb; 105(1):37-43Grigoriu M, Palade R, Lutic C
  • CONCLUSIONS: 1. PAD are related to bilio-pancreatic disorders, especially to bile duct stones. 2. The most common physio-pathological mechanism is a alteration of the bile flow, due to angulation, compression and/or obstruction of the final part of the bile duct and Wirsung duct, followed by secondary upper stasis. 3. Papillosphincterotomy has technical particularities, because of difficulties in incision orientation (a deformed papilla, with modified anatomical relationships, being situated profound inside the diverticulum cavity). Sphincterotomy depth was limited, which lead to less succesfull extraction of bile stones (89%, compared to the control group 92%). 4. We did not encounter major accidents. Secondary acute pancreatitis after ERCP was similar in both study groups. There was no significant difference in morbidity and mortality rates in both groups.
  • Sphincterotomy for biliary sphincter of Oddi dysfunction. [Review]
    Cochrane Database Syst Rev 2001; (3):CD001509Craig AG, Toouli J
  • CONCLUSIONS: These results suggest that sphincterotomy for biliary sphincter of Oddi dysfunction appears effective in those patients with an elevated sphincter of Oddi basal pressure (>40 mmHg), but is no better than placebo in those patients with a normal basal pressure. The results reported in this review must be interpreted with caution as there are only two studies and one of the reviewers (Toouli) has been an author in both studies. Further trials by independent groups are recommended.
  • [Clinical difficulties and errors in making a diagnosis of chronic papillo-odditis]. [Journal Article]
    Vutr Boles 1999; 31(4):5-8Ivanova S, Stanchev N, … Dikova R
  • 138 patients with chronic papillooditis were investigated, 15 of them in a stage of decompensation. In 83.3% of the cases, the diagnosis was not clinically determined (including 68 of 92 endoscoped before their hospitalization--82.9%). 34 patients were diagnosed as having chronic gastroduodenitis, 15--ulcer, 42--chronic cholecystitis, 11--chronic pancreatitis, 4--cholangitis, 9--postcholecystecto…
  • Chronic obstructive pancreatitis in humans is a lithiasic disease. [Journal Article]
    Pancreas 1996; 13(1):66-70Cavallini G, Bovo P, … Filippini M
  • In humans chronic obstructive pancreatitis (COP) is thought to be a disease devoid of ductal stones. The aim of this study was to verify the presence and frequency of calcifications in patients with COP and compare them with those found in patients with chronic calcifying/calcific pancreatitis (CCP). We conducted a retrospective ERCP investigation in 115 patients with documented chronic pancreati…
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