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您的检索式：作者名="Ali Aktekin"
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| 1 | Tumor charac-teristics influencing non-sentinel lymph node involvement in clin-ically node negative patients with breast cancer显示文摘 | Gunay Gurleyik Fugen Aker Ali Aktekin | 2011 | J BreastCancer2011，4，2： | 1 |
| 2 | A modified Rendezvous ERCP technique in duodena diverticulum显示文摘AIM: To postoperative endoscopic retrograde cholangiopancreatography(ERCP) failure, we describe a modified Rendezvous technique for an ERCP in patients operated on for common bile duct stone(CBDS) having a T-tube with retained CBDSs. METHODS: Five cases operated on for CBDSs and having retained stones with a T-tube were referred from other hospitals located in or around Istanbul city to the ERCP unit at the Haydarpasa Numune Education and Research Hospital. Under sedation anesthesia, a sterile guide-wire was inserted via the T-tube into the common bile duct(CBD) then to the papilla. A guide-wire was held by a loop snare and removed through the mouth. The guide-wire was inserted into the sphincterotome via the duodenoscope from the tip to the handle. The duodenoscope was inserted down to the duodenum with a sphincterotome and a guidewire in the working channel. With the guidance of a guide-wire, the ERCP and sphincterotomy were suc-cessfully performed, the guide-wire was removed from the T-tube, the stones were removed and the CBD was reexamined for retained stones by contrast. RESULTS: An ERCP can be used either preoperatively or postoperatively. Although the success rate in an isolated ERCP treatment ranges from up to 87%-97%, 5%-10% of the patients require two or more ERCP treatments. If a secondary ERCP fails, the clinicians must be ready for a laparoscopic or open exploration. A duodenal diverticulum is one of the most common failures in an ERCP, especially in patients with an intradiverticular papilla. For this small group of patients, an antegrade cannulation via a T-tube can improve the success rate up to nearly 100%. CONCLUSION: The modified Rendezvous technique is a very easy method and increases the success of postoperative ERCP, especially in patients with large duodenal diverticula and with intradiverticular papilla. | Mehmet Odabasi Mehmet Kamil Yildiz Haci Hasan Abuoglu Cengiz Eris Erkan Ozkan Emre Gunay Ali Aktekin MA Tolga Mu | 2013 | World Journal of Gastrointestinal Endoscopy2013，5，11： | 0 |
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