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ENDOSCOPIC SPHINCTEROTOMY FOR COMMON BILE DUCT CALCULI
Author(s) -
Askew A. R.,
Ward M.,
Cowen A. E.
Publication year - 1984
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.1445-2197.1984.tb05422.x
Subject(s) - medicine , obstructive jaundice , common bile duct , clearance , surgery , cholecystectomy , biliary tract , bile duct , jaundice , general surgery , urology
A series of 74 patients having endoscopic sphincterotomy for common bile duct calculi is reported. Complete stone extraction was achieved in 53 cases (72%). Seventeen of 21 patients with retained calculi following recent biliary surgery had successful extractions (80%). Of 30 patients having had a cholecystectomy, 21 (70%) were successful, but only 15 of 23 patients with obstructive jaundice and no previous biliary surgery had the ducts cleared of calculi. Failure was due to multiple stones in the duct, or calculi too large to pass through the sphincterotomy. Endoscopic sphincterotomy is advocated in patients with obstructive jaundice due to stones, moving to early surgery should it prove unsuccessful. The results in patients with a T‐tube in situ are comparable to extraction of the calculi along the T‐tube tract.