G F McNeely

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A needle guide was used to create a fistula from an obstructed common bile duct to the duodenum in a patient with a large tumor of the head of the pancreas. The tortuosity and severity of the stricture prevented the use of routine guide wire passage. A 5-F hyperalimentation catheter was also placed, in addition to the biliary drainage stent.
A percutaneous antecubital transvenous cholangiography technique using a flexible 20 gauge needle is described. The porcedure was successful in 6 patients with obstructive jaundice but failed in 2 patients without bile duct dilatation. The authors feel that this technique is easier and safer than present transvenous methods. Modifications for the femoral(More)
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