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Endoscopic fistulotomy and biliary drainage as the ultimate palliative treatment for obstruction due to malignant tumors of the papilla of Vater

Summary

This report describes the technique and results of endoscopic fistulotomy as a drainage procedure in cases of malignant obstruction of the biliary system from bulky and friable growths in the papilla of Vater. Fistulotomy, coupled with insertion of stents, was successful in seven of eight patients and was associated with relief of jaundice. It is suggested that the method be applied when conventional transpapillary insertion of stents is impossible either due to distortion of the papilla or bleeding of the growth on touch.

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References

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Correspondence to C. Feretis.

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Feretis, C., Tabakopoulos, D., Benakis, P. et al. Endoscopic fistulotomy and biliary drainage as the ultimate palliative treatment for obstruction due to malignant tumors of the papilla of Vater. Surg Endosc 4, 88–90 (1990). https://doi.org/10.1007/BF00591265

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Key words

  • Bulky, friable tumors
  • Papilla of Vater
  • Endoscopic fistulotomy
  • Biliary drainage