ENDOSCOPIC SPHINCTEROTOMY IN YOUNG-PATIENTS WITH CHOLEDOCHAL DILATATION AND A LONG COMMON CHANNEL - A PRELIMINARY-REPORT
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AbstractAn anomalous elongated pancreaticobiliary common channel encourages reflux up both the biliary tree and the pancreatic ductal system, resulting in progressive choledochal dilatation, cholangitis with ductal calculi, relapsing pancreatitis and malignant change. Transduodenal sphincteroplasty has been used to improve drainage from the abnormal channel. The use of endoscopic sphincterotomy (ES) to establish drainage and minimize the surgical risks is reported in six symptomatic patients with mild choledochal dilatation (common bile duct diameter < 15 mm), a common channel < 15 mm in length and a distal stenosis. This was successful in five patients, who have no further symptoms. ES failed in the only patient with an undilated common channel and this patient went on to have open surgery. We believe ES to be safe and effective in the treatment of selected cases of long common channel.
All Author(s) ListNG WD, LIU K, WONG MK, KONG CK, LEE K, CHAN YT, LEUNG JWC
Journal nameBritish Journal of Surgery
Year1992
Month6
Day1
Volume Number79
Issue Number6
PublisherBLACKWELL SCIENCE LTD
Pages550 - 552
ISSN0007-1323
eISSN1365-2168
LanguagesEnglish-United Kingdom
Web of Science Subject CategoriesSurgery; SURGERY

Last updated on 2021-17-02 at 23:50