Bibliografías temáticas / Standard sphincterotomy

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Literatura académica sobre el tema "Standard sphincterotomy"

Autor: Grafiati

Publicado: 11 de marzo de 2023

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Artículos de revistas sobre el tema "Standard sphincterotomy"

Liguory, Claude, Jean Francois Lefebvre, Didier Bonnel y Gary C. Vitale. "Cutting the Difficult Papilla: Ancillary Techniques in the Performance of Endoscopic Sphincterotomy". Canadian Journal of Gastroenterology 4, n.º 9 (1990): 564–67. http://dx.doi.org/10.1155/1990/254189.

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Of 1040 endoscopic sphincterotomies performed over a five year period, standard papillotomy was possible in 874 (84%). In 166 cases (16%) a difficult papilla was encountered requiring nonstandard techniques of precutting, transpapillary guided endoscopic sphincterotomy, transhepatic guided endoscopic sphincterotomy and percutaneous transhepatic sphincterotomy. The technique first attempted in these 166 cases was successfully completed in 154 (93%). Among the 135 cases with intradiverticular papillas, successful papillotomy was achieved in 125 (92.7%). Early complications of standard endoscopic sphin-.lerotomy included bleeding, perforation, pancreatitis and cholangitis, comprising 4.3% of the 1040 sphincterocomies. There were five deaths (mortality rate 0.5%) and laparotomy was required in six patients (0.6%). Conditions contributing to complications included an intradiverticular papilla and precutting. Evaluation of endoscopic sphincterotomy by transpapillary or transhepatic routes guided by guidewire or drain placement revealed complication rates of 6.6 and 10.6%, respectively. Of the patients with histories of gastric resection and Billroth II anastomoses, standard sphincterotomy was possible in 15 (55.5%); in two cases the papilla was unapproachable endoscopically, requiring use of percutaneous transhepatic sphincterotomy. The percutaneous transhepatic sphincterotomy without endoscopic control is felt to be a higher risk procedure and should be reserved for rare indications. Appropriate use of these techniques should allow performance of endoscopic sphincterotomy in almost all clinical settings.

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Coelho-Prabhu, N., I. Dzeletovic y T. Baron. "Outcome of access sphincterotomy using a needle knife converted from a standard biliary sphincterotome". Endoscopy 44, n.º 07 (21 de junio de 2012): 711–14. http://dx.doi.org/10.1055/s-0032-1309773.

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Zaher, Tarik. "Video Case: Sphincterotomy after Small Pre-cut of the Major Duodenal Papilla using Standard Sphincterotome". Afro-Egyptian Journal of Infectious and Endemic Diseases 3, n.º 4 (12 de diciembre de 2013): 154. http://dx.doi.org/10.21608/aeji.2013.18259.

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Kad, Anil M., Murtaza Akhtar, Rajiv Sonarkar, Divish Saxena, Kanav Kumar y Siddharth Keswani. "A comparison of segmental internal sphincterotomy versus lateral internal sphincterotomy in management of chronic fissure in ano". International Surgery Journal 4, n.º 9 (24 de agosto de 2017): 3044. http://dx.doi.org/10.18203/2349-2902.isj20173884.

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Background: Fissure in ano is one of the commonest benign and painful proctologic condition encountered in surgical practice treated by conservative line of management. Lateral sphincterotomy is the ideal treatment option for chronic refractory fissure in ano. A newer modality segmental internal sphincterotomy shows good promise in terms of early resolution of symptoms, fissure healing and prevention of anal incontinence involving division of the internal sphincter at two different levels.Methods: In comparative nonrandomized trial patients with chronic fissure in ano satisfying the inclusion and exclusion criteria were allocated to lateral sphincterotomy and segmental internal sphincterotomy groups. The outcome factors were perianal sepsis, pain relief using VAS as assessed on passing the first motion, duration of healing of fissure, assessment of incontinence using Wexner’s continence score on 30th post-operative day.Results: A total of 54 cases were enrolled, of them 31 patients underwent lateral internal sphincterotomy and 23 underwent segmental internal sphincterotomy with the mean age of patient was 34.76 years and a male to female ratio of 1.07:1. The pain score (VAS) on passing stool for the first time postoperatively was 4.5 with lateral sphincterotomy and 3.91 with segmental internal sphincterotomy which was statistically significant (P value < 0.010). The duration of postoperative healing was observed to be 27.94 days and 28.09 days in lateral sphincterotomy and segmental internal sphincterotomy group respectively. The post-operative anal incontinence was evaluated by using Wexner’s continence grading after one month which was not statistically significant between two groups.Conclusions: Segmental internal sphincterotomy could be a good surgical modality with its healing effect on fissure in ano and post-operative complications which are similar to standard lateral internal sphincterotomy.

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Zngana, Abdulqadir y Bawan Hiwa. "A comparative study between lateral internal anal sphincterotomy and botulinum toxin injection in the treatment of chronic anal fissure". Zanco Journal of Medical Sciences 25, n.º 2 (11 de agosto de 2021): 513–19. http://dx.doi.org/10.15218/zjms.2021.014.

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Background and objective: The gold standard for the treatment of chronic anal fissure is lateral internal sphincterotomy. Botulinum toxin injection provides temporary alleviation of sphincter spasm and allows the fissure to heal. This study aimed to compare the outcomes of lateral internal sphincterotomy and botulinum toxin injection treatments in patients with uncomplicated chronic anal fissure. Methods: A prospective comparative study was carried out at the surgical unit of Erbil teaching hospital, Erbil, Kurdistan Region of Iraq, from January 2017 to February 2018. Fifty-five patients were enrolled in this study. Five patients were excluded, and the remaining 50 patients were equally divided into two groups. Group A was managed with lateral internal sphincterotomy and group B with botulinum toxin. Postoperative pain relief, bleeding, fissure healing, incontinence, and relapse after six weeks and three months of follow-up were compared. Results: One month after treatment, 12% of the lateral internal sphincterotomy group had bleeding, while none of the botulinum toxin group (P = 0.234). Two patients (8%) of the lateral internal sphincterotomy group had pain while one (4%) of the botulinum toxin group (P >0.999).Three months after treatment, 4% of the lateral internal sphincterotomy group had bleeding, while none of the botulinum toxin group (P >0.999). None of the lateral internal sphincterotomy group had pain while one (4%) of the botulinum toxin group (P >0.999). Regarding healing, 96% of the lateral internal sphincterotomy group healed, while 92% in the botulinum toxin group (P >0.999). Conclusion: The outcome of lateral internal sphincterotomy and botulinum toxin were nearly the same, but lateral internal sphincterotomy required hospitalization, period off work, and risk of anesthesia. These risks were absent in botulinum toxin injection. Keywords: Chronic anal fissure; Lateral internal sphincterotomy; Botulinum toxin; Complications.

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Maple, John T., Lilah Mansour, Tarek Ammar, Michael Ansstas, Gregory A. Coté y Riad R. Azar. "Physician-Controlled Wire-Guided Cannulation of the Minor Papilla". Diagnostic and Therapeutic Endoscopy 2010 (11 de agosto de 2010): 1–4. http://dx.doi.org/10.1155/2010/629308.

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Background. Minor papilla (MiP) cannulation is frequently performed using specialized small-caliber accessories. Outcomes data for MiP cannulation with standard-sized accessories are lacking. Methods. This is a case series describing MiP cannulation outcomes in consecutive patients treated by two endoscopists between July 2005 and November 2008 at two tertiary referral centers. MiP cannulation was attempted using a 4.4 Fr tip sphincterotome loaded with a , 260 cm hydrophilic-tip guidewire, using a wire-guided technique under physician control. Results. 25 patients were identified (14 women, mean age 45). Procedure indications included recurrent acute pancreatitis in 16 patients (64%) and chronic pancreatitis in 2 (8%), among other indications. MiP cannulation was successful in 24 patients (96%). Sphincterotomy followed by pancreatic stent placement was performed in 21 patients (84%). Mild post-ERCP pancreatitis occurred in 3 patients (12%). Conclusion. Physician-controlled wire-guided MiP cannulation using a 4.4 Fr sphincterotome and guidewire is an effective and safe technique.

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Kim, Kwang Min y Jong Kyun Lee. "Is Limited Endoscopic Sphincterotomy with Large Balloon Dilation Safer and More Effective than Standard Endoscopic Sphincterotomy?" Korean Journal of Gastroenterology 62, n.º 6 (2013): 382. http://dx.doi.org/10.4166/kjg.2013.62.6.382.

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Yusifzade, K. R. "Rationale for effectiveness of a new method of radial sphincterotomy during obstruction of extrahepatic bile ducts". Kazan medical journal 95, n.º 6 (15 de diciembre de 2014): 816–21. http://dx.doi.org/10.17816/kmj1987.

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Aim. Determination of the effectiveness of the improved method of sphincterotomy in choledocholithiasis, called radial sphincterotomy. Methods. Analyzed were results of 38 operations performed by endoscopic retrograde cholangiopancreatography in patients with a diagnosis of choledocholithiasis. In the first group (23 patients) performed a standard sphincterotomy, in the second group - radial sphincterotomy. 21 patients of the first group had gallstones up to 20 mm, 2 patients - more than 20 mm; in 6 patients (out of 15) of a second group gallstones sizes exceeded 20 mm, the other patients had stones sizes 15-20 mm. Results. The technique developed radial sphincterotomy allows multiple incisions towards 11, 12 and 13 hour clock directions. Thus, the main incision can be made to the transverse folds, and other radial incisions should be carried out below it, not going beyond the proposed location of the intramural common bile duct. Anatomical and mathematical justifications of the method of radial sphincterotomy were presented. Depending on the cut and shape of papillae, the severity of the upper transverse folds defining a safe distance from the hole until it papillae, performed lateral radial incisions, thereby achieving an increase of sphincterotomy cut altogether. Neither group registered death. In 2 (8.7%) patients of the first group bleeding occurred during the procedure, after the operation pancreatitis has developed in 1 (4.3%) patients in first group and in 1 (6.7%) patients in the second group. Conclusion. The proposed technique of radial sphincterotomy is a safe way to increase the area of dissected papillae to provide high efficiency for removal of large gallstones.

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Zim, Hasnat Zaman, Debashish Bar, Ashok Kumar Sarker y Salma Sultana. "Early Outcome of Open versus Closed Lateral Internal Anal Sphincterotomy in the Treatment of Chronic Anal Fissure". Journal of Surgical Sciences 22, n.º 1 (22 de marzo de 2020): 52–57. http://dx.doi.org/10.3329/jss.v22i1.44027.

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Background: Chronic anal fissure is a benign disorder that is associated with considerable discomfort. Surgical treatment in the form of lateral internal sphincterotomy has long been regarded as the gold standard of treatment. Two methods of sphincterotomy are currently practiced: open or closed technique. Objective: The objective of this study was to compare the early outcome of closed versus open lateral internal anal sphincterotomy for the treatment of chronic anal fissure, based on the assessment of post-operative pain and complications. Methods: A comparative study was conducted at the department of surgery in Dhaka Medical College & Hospital, over a period of 6 months from April 2015 to September 2015. A total of 80 patients were purposefully included in this study and were equally divided into two groups; Group A included 40 patients undergone closed lateral internal anal sphincterotomy and Group B included 40 patients undergone open lateral internal anal sphincterotomy. Patients were followed up postoperatively for 6 weeks to assess any complications. The outcomes were compared between the groups using the Chi-square (x2) test and Student's "t" test. Results: Delayed postoperative healing was found in 7.5% patients of the open lateral internal anal sphincterotomy group. The mean pain score and duration of hospital stay were lower in closed lateral internal anal sphincterotomy group. Conclusion: Closed lateral internal sphincterotomy is preferred to open technique in the treatment of chronic anal fissure, as it is effective, safe, less expensive, and is associated with low complication rate. Journal of Surgical Sciences (2018) Vol. 22 (1): 52-57

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Nawaz, Allah, Khalid Mahmood, Nazim Hayat, Ahmad Hassan Khan, Asad Rizwan Rana y Raza Farooq. "A comparative study of the results of the lateral internal anal sphincterotomy vs manual dilatation of anus for chronic anal fissure." Professional Medical Journal 27, n.º 11 (10 de noviembre de 2020): 2295–99. http://dx.doi.org/10.29309/tpmj/2020.27.11.5746.

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Objectives: To compare the results of surgical treatment of chronic anal fissure after lateral internal sphincterotomy with manual dilatation of anus. Study Design: Randomized Controlled Prospective study. Setting: Department of Surgery District Teaching Hospital Sargodha, Pakistan. Period: April 2018 to Feb 2019. Material & Methods: Patients were divided into two groups by lottery method. The procedures were performed using standard protocols after obtaining written informed consent. 50 patients underwent lateral internal anal sphincterotomy (Group 1) and 50 patients manual dilatation of anus (Group 2). Patients having atypical anal fissures associated with other diseases were excluded from this study. We assessed both groups for persistence of symptoms, complications and better satisfaction in terms of surgical techniques. Results: All patients became symptoms free within 07-14 days of surgery. Urinary retention was noted in 2(4%) patients in lateral internal sphincterotomy and 2(4%) in manual dilatation of anus. Temporary flatus Incontinence was noted in 2(4%) patient of lateral internal sphincterotomy and 2(4%) in manual dilatation of anus. Faecal soiling was observed in 1(2%) patient of lateral internal sphincterotomy. No recurrence, anal stenosis, hemorrhage, infection of wound, pain and bleeding associated with defecation was seen in both groups. Conclusion: Both lateral internal sphincterotomy and manual dilatation of anus techniques are effective.

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Más fuentes

Capítulos de libros sobre el tema "Standard sphincterotomy"

Balci, Bengi, Sezai Leventoglu y Bulent Mentes. "Sphincterotomy is the Gold-Standard Treatment of Chronic Anal Fissure: But How Should it be Done?" En Benign Anorectal Disorders - An Update. IntechOpen, 2023. http://dx.doi.org/10.5772/intechopen.104109.

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A chronic anal fissure is one of the most encountered anorectal diseases in the clinical practice of general surgery. After all the medical therapies have failed, lateral internal sphincterotomy is still the main-stay treatment for chronic anal fissure. The optimal and standardized sphincterotomy has the utmost importance in preventing postoperative incontinence and recurrence, which are consequences of either extreme or insufficient sphincterotomy. Therefore, the lateral internal sphincterotomy technique has been evolved within years with the initial proposition of controlled-sphincterotomy and improvement of this technique with the addition of sphincterotomy up to the dentate line. This chapter focuses on the chronic anal fissure in the era of spasm-controlled lateral internal sphincterotomy.

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Actas de conferencias sobre el tema "Standard sphincterotomy"

Archibugi, L., A. Mariani, M. Traini, M. Chiara Petrone, E. Dabizzi, G. Rossi, S. Testoni, PA Testoni y PG Arcidiacono. "“DELAYED” NEEDLE-KNIFE FISTULOTOMY VERSUS STANDARD BILIARY SPHINCTEROTOMY FOR CHOLEDOCHOLITHIASIS: RECURRENCE OF COMMON BILE DUCT STONES AND RATE OF POST-ERCP PANCREATITIS". En ESGE Days 2018 accepted abstracts. Georg Thieme Verlag KG, 2018. http://dx.doi.org/10.1055/s-0038-1637103.

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