In this case, the patient has a stone in the commonbile duct that is removed by performing a sphincterotomy.Extirpation is the root operation reported for the removal of thestone (a
solid substance) from the bile duct.
Why is the sphincterotomy not reported? Be sure tojustify your answer specifically.
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6. Operative Report PROCEDURE NAME: INDICATION FOR PROCEDURE: This ch Sphincterotomy and stone extraction Paroxysmal right upper quadrant pain associated with disturbed liver function that is post-cholecystectomy sistem release helps to The 2n G- 7- Func PROCEDURE DESCRIPTION: The Olympus Video side-viewing duodenoscope was atraumatically introduced into esophagus and advanced with slide-by technique into the stomach. The gastric mucosa was normal. The pyloric channel was normal and easily intubated. The first and second parts of the duodenum were visualized The ampulla appeared normal. Initial cannulation with a precurved catheter revealed a normal pancreatic duct. A single injection was made into the pancreas. Repositioning was accomplished with the assistance of a straight 0.035 guidewire and free cannulation of the common duct was obtained, revealing a large multifaceted free floating stone within the common bile duct. The intrahepatic biliary system appeared normal. The extrahepatic biliary system appeared dilated. An exchange was made with a 20-mm sphincterotome and a sphincterotomy was performed with perfect hemostasis. The duct was then swept with a 15-mm stone extraction balloon and the stone was pulled into the duodenal lumen and removed. The duct was “swept” 2 more times with negative results. The procedure was terminated with the patient in satisfactory condition and she was returned to the recovery area for observation. The end these g glands hormon Orgal ASSESSMENT: Choledocholithiasis associated with recurring obstruction and biliary colic in a post- cholecystectomy patient. The end Islets of Sumeh ICD-10 hepatot Susten
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