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  • Title: Evaluation of a combined percutaneous-endoscopic procedure for the treatment of choledocholithiasis and benign papillary stenosis.
    Author: Ponchon T, Valette PJ, Bory R, Bret PM, Bretagnolle M, Chavaillon A.
    Journal: Endoscopy; 1987 Jul; 19(4):164-6. PubMed ID: 3622398.
    Abstract:
    In 19 patients suffering from choledocholithiasis or papillary stenosis, retrograde cholangiography or sphincterotomy failed because of anatomic abnormalities. In such cases, sphincterotomy was then performed with the assistance of a percutaneous catheter. Two complications were observed: moderate bleeding from the transhepatic drain, and a retroperitoneal perforation needing surgery. This combined procedure is very efficient, but gives rise to complications of both the transhepatic and endoscopic routes.
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