Hacı Mehmet ODABAŞI, Atakan YEŞİL, Cem ARSLAN, Can GÖNEN, Cengiz ERİŞ, Mehmet Kamil YILDIZ, Hacı Hasan ABUOĞLU, Emre GÜNAY, Erkan ÖZKAN, Tolga MÜFTÜOĞLU
Periampuller bölge tümörlerinde ERKP ile suprapapiller koledok kanülasyonu
Giriş ve Amaç: Endoskopik retrograd kolanjiopankreotografi biliyer hastalıkların tanı ve tedavisinde altın standarttır. Başarılı bir endoskopi için ana safra kanalına girmek en önemli basamaktır. Transkapiller kanülasyon tercih edilen yöntem olmakla birlikte her zaman başarı sağlanamamaktadır. Bu nedenle alternatif olarak suprapapiller kanülasyon tekniği geliştirilmiştir. Gereç ve Yöntem:Hastanemiz endoskopik retrograd kolanjiopankreatografi ünitesinde periampüller tümörlü ve kolanjitli 6 hastaya suprapapiller kanülasyon yapıldı. Bulgular:Hastalarda minör veya majör komplikasyon görülmedi. Sonuç:Özellikle periampüller tümörlü hastalarda transpapiller kanülasyonda zorluk yaşarsanız, suprapapiller kanülasyon tekniği kolay ve güvenli bir yöntemdir.
Anahtar Kelimeler:
ERKP, periampüller tümör, suprapapiller kanülasyon
Suprapapillary choledochus cannulation of periampullary tumors with ERCP
Background and Aims: Endoscopic retrograde cholangiopancreatography is the gold standard for the diagnosis and treatment of biliary diseases. Direct access into the common bile duct is the most important step for successful therapeutic biliary endoscopy. Although transpapillary biliary cannulation is the preferred technique, it is not always possible. Therefore, suprapapillary cannulation has been developed as an alternative technique. Materials and Methods:Suprapapillary cannulation was performed in six patients determined to have periampullary tumor in the endoscopic retrograde cholangiopancreatography unit in our hospital. Results: No minor or major complications were observed during any of the operations. Conclusions:Especially when transpapillary cannulation is difficult in patients with periampullary tumor, the suprapapillary cannulation technique can be considered as an easy and safe method.
Keywords:
ERCP, periampullary tumors, suprapapillary cannulation,
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- ISSN: 1302-5422
- Başlangıç: 2010
- Yayıncı: Türk Gastroenteroloji Vakfı