Extended transduodenal sphincteroplasty for bile duct stones associated with a periampullary diverticulum. Issue 799 (May 1992)

• Record Type: Journal Article
• Authors: Akoglu, M.; Sahin, B.; Davidson, B. R.
• Is Part Of: Postgraduate medical journal. Volume 68:Issue 799(1992)
• Page Start: 346
• Page End: 349
• Publication Date: 1992-05
• Subjects: Medicine -- Periodicals; 610
• DOI: 10.1136/pgmj.68.799.346
• Languages: English
• ISSNs: 0032-5473

Abstract

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.