The medium to long term sequelae of endoscopic sphincterotomy in the management of common duct stones in HUSM (1992-1998)

• Main Author: Salekan, Khairuzi
• Format: Thesis
• Language: English
• Published: 2001
• Subjects: RD Surgery
• Online Access: http://eprints.usm.my/36148/1/dr_khairuzi_bin_salekan%28MRM%29_%28NN15%2924.pdf; http://eprints.usm.my/36148/

Perkembangan terkini berkenaan dengan peralatan dan teknik kanulasi, litotripsi dan pembedahan secara laparoskopi telah mengubah cara rawatan batu di dalam saluran hempedu. Sebelum ini pembedahan adalah cara utama rawatan, tetapi kini kebanyakannya berjaya dirawat dengan kaedah endoskopi. Endoskopi Retrograde Cholangiopancreatografi (ERCP) dan Sphincterotomi secara Endoskopi (EST) kini diterima sebagai satu rawatan yang ideal untuk batu di dalam saluran hempedu. Recent development of new cannulation instruments and techniques, improvement in the lithotripsy methods and the advent of laparoscopic surgery have changed the management of common duct stones. Previously surgical intervention was the mainstay of treatment, but now most can be successfully treated endoscopically. Endoscopic Retrogradecholangiopancreatography (ERCP) and Endoscopic Sphincterotomy (EST) is accepted as the gold standard for the management of common duct stones.