Transduodenal sphincteroplasty (Not sphincterotomy) for biliary and pancreatic disease

Jones, Sydney; Steedman, Robert A.; Keller, Thomas B.; Smith, Louis L.

doi:10.1016/0002-9610(69)90132-9

Cited by 72 publications

(25 citation statements)

References 16 publications

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“…The choice of permanent drainage procedure for the CBD should be tailored to the specific problem, but each operation has its own indications and contraindications [1,5]. Postoperative complications include acute pancreatitis, cholangitis, haemoperitoneum, subphrenic abscess, and biliary fistula, plus inadequate sphincteroplasty with retained stones [1–3,6].…”

Section: Discussionmentioning

confidence: 99%

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Recurrent bile duct stones after transduodenal sphincteroplasty

Kibria

Hall

2002

HPB

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Section: Discussionmentioning

confidence: 99%

“…Transduodenal sphincteroplasty (TDS) is a thorough, effective, safe and reliable procedure for the treatment of choledocholithiasis. It provides permanent drainage of the biliary tree and should therefore, prevent further bile duct stones[1,2]. By definition the anastomosis should be wider than the supraduodenal common bile duct [5].…”

Section: Introductionmentioning

confidence: 99%

Recurrent bile duct stones after transduodenal sphincteroplasty

Kibria

Hall

2002

HPB

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“…Operations on the papilla present one of the most hotly disputed controversies in the history of surgery. 1. Indications for operation some surgeons have denied the existence of stenosis of the sphincter of oddi.…”

Section: Discussionmentioning

confidence: 99%

Sphincteroplasty of the Sphincter of Oddi in the Treatment of Benign Distal Obstructions of the Bile Duct

Duca

1988

HPB Surgery

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Seventy patients in whom sphincteroplasty was performed by an original technique are presented. In 65 cases the indication was stenosis of the sphincter of oddi, associated or not with cholelithiasis or hepatic hydatid disease. There were relative indications in another 5 patients. Sphincteroplasty was achieved with the aid of an original probe, and average length of the incision of the ampullary area was 28 mm.In the immediate postoperative period there was one case of acute postoperative pancreatitis, one duodenal fistula and an upper digestive haemorrhage; also a residual stone was detected. All these complications have responded favourably to conservative treatment. There was a single death in an old patient with bronchopneumonia.The late results were very good or good with the exception of two cases: one which presented with cholangitis episodes maintained by duodenal stasis, and one female patient, who after one year from sphincteroplasty had to be reoperated on for an hepatic abscess.KEY WORDS: Oddian sphincteroplasty, original technique, early and late results.

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“…With experience and the passage of time, sphincterotomy became less popular, as the reflux theory of the etiology of acute pancreatitis seemed to be less tenable (13,15). Thus, the treatment of acute pancreatitis continues to be non-operative and supportive in most patients, with the exception of those with necrotizing pancreatitis.…”

Section: Historymentioning

confidence: 99%