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  • Title: Percutaneous transhepatic sphincterotomy--a report on 3 cases.
    Author: Zanon E, Righi D, Maisano U, Regge D, Ferrari A, Recchia S, Gandini G.
    Journal: Endoscopy; 1991 Jan; 23(1):25-8. PubMed ID: 2009833.
    Abstract:
    The technique of percutaneous transhepatic sphincterotomy is described. This procedure was employed in 3 patients with common bile duct (CBD) stones in whom a previous attempted endoscopic procedure had failed for anatomical reasons (a Billroth II gastric resection or a partial gastric resection with Braun anastomosis). Complete immediate success was obtained in all 3 patients. Furthermore, no major complications occurred during transhepatic treatment. The authors suggest that PTS be employed electively in patients with diseases of the biliary tree in whom the endoscopic approach fails.
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