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Endoscopy 1980; 12(1): 16-22
DOI: 10.1055/s-2007-1021704
© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic Sphincterotomy in Patients with Billroth II Gastrectomy

L. Safrany, B. Neuhaus, G. Portocarrero, S. Krause
  • Gastroenterology Department, Reinhard-Nieter-Hospital, D-2940 Wilhelmshaven
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Publication History

Publication Date:
17 March 2008 (online)

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Summary

We attempted endoscopic sphincterotomy in 35 patients previously subjected to Billroth II gastrectomy, and succeeded in 23 of them.

It is often difficult to pass the instrument along the afferent loop and the sphincterotomy incision is seldom placed in an optimal position.

Although we had complications in only 2 patients, it is likely that spincterotomy carries a higher risk in Billroth II gastrectomy patients. It should therefore be reserved for patients who are at high risk for surgery.

Key words:

B-II-Gastrectomy - Papillotomy

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