Causes of Biliary Obstruction

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چکیده

The first endoscopic retrograde cholangiopancreatography (ERCP) was performed in 1968. It is an endoscopic technique in which a specialised sideviewing upper endoscope (duodenoscope) is guided into the second part of the duodenum. A catheter can be passed through the instrument channel to cannulate the bile and/or pancreatic ducts with the help of a bridge at the tip of the duodenoscope. The bile and/or pancreatic ducts are then opacified by injection of a contrast medium, thereby permitting their visualisation under fluoroscopy and allowing for a variety of therapeutic interventions. Endoscopic sphincterotomy (EST) was subsequently introduced in 1974 as an endoscopic surgical technique facilitating therapeutic intervention for common bile duct stones and pathology during ERCP.

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تاریخ انتشار 2009