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ENDOSCOPIC SPHINCTEROTOMY IN HIGH‐RISK PATIENTS WITH BILIARY TRACT DISEASE 1
Author(s) -
ROBERTSTHOMSON IAN C.
Publication year - 1981
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1981.tb05959.x
Subject(s) - medicine , major duodenal papilla , cholecystectomy , biliary tract , cholangiography , surgery , bile duct , common bile duct , stenosis , general surgery
Endoscopic sphincterotomy was performed in 53 patients with biliary tract disease who were considered to be at high risk from conventional surgical procedures. Forty‐five patients had choledocholithiasis, while eight had miscellaneous disorders including carcinoma, stenosis of the papilla, and postoperative biliary fistulae. Forty‐three of 45 patients with choledocholithiasis have been free of symptoms since the procedure, and most have had repeat retrograde cholangiography confirming the absence of bile duct stones. Endoscopic sphincterotomy is a safe and effective procedure in selected high‐risk patients, particularly those with choledocholithiasis after cholecystectomy.