Extended transduodenal sphincteroplasty for bile duct stones associated with a periampullary diverticulum.

Abstract

Extended transduodenal sphincteroplasty has been suggested as an alternative to choledochoduodenostomy for the surgical management of bile duct stones associated with a periampullary diverticulum but its value has not previously been investigated. Over a 3 year period, nine patients underwent extended transduodenal sphincteroplasty for common bile duct calculi associated with a periampullary diverticulum with no operative or post-operative mortality and minimal morbidity. Follow-up ranging from 20 to 60 months has shown remission of pain in all but one patient, who has had a normal endoscopic cholangiogram and no further episodes of jaundice or cholangitis. Extended transduodenal sphincteroplasty is a safe and effective alternative to choledochoduodenostomy for the surgical management of choledocholithiasis associated with a periampullary diverticulum.

• Authors: M Akoglu, B Sahin, B R Davidson
• Journal: Postgraduate medical journal (Postgrad Med J) Vol. 68 Issue 799 Pg. 346-9 (May 1992) ISSN: 0032-5473 [Print] England
• PMID: 1630978 (Publication Type: Journal Article)

Topics

• Aged
• Ampulla of Vater (surgery)
• Common Bile Duct Diseases (complications, surgery)
• Diverticulum (complications, surgery)
• Female
• Gallstones (etiology, surgery)
• Humans
• Male
• Middle Aged
• Sphincterotomy, Transduodenal (methods)