Pancreatic sphincterotomy and sphincteroplasty.

Microangiopathic hemolytic anemia caused by a signet-ring cell carcinoma of the intrahepatic bile duct

“…It is a mucosa-to-mucosa suture, either of duodenum to bile duct alone (biliary sphincteroplasty) or of bile duct to pancreatic duct in addiction (pancreatic sphincteroplasty). This procedure creates a permanent destruction of the Oddi's sphincter [23,24].…”

Pancreas divisum: Analysis and therapeutic alternatives with a case report

“…In our case, PD was discovered by MRCP. The rate of pancreatitis following pancreatic sphincterotomy appears to be approximately 10-12% [18][19][20] . When discussing on therapeutical options, the problem may lie in choosing the apropriate procedures.…”

Recurrent Pancreatitis in Gardner Variant Familial Polyposis

“…Stenosis of the biliary sphincterotomy orifice outside of this patient subset has a much lower incidence (1%-5% in most published series) but does seem to be higher for pancreatic sphincterotomy. 15,16 For example, we have previously reported a 14% incidence of stenosis with pancreatic sphincterotomy in this institution. 17 A question might be raised regarding the evidence that ampullary adenomas are the cause of pancreatitis in the 5 patients reviewed here.…”