23 YEARS OF EXPERIENCE WITH SPHINCTEROTOMY AND SPHINCTEROPLASTY FOR STENOSIS OF SPHINCTER OF ODDI

  • 1 January 1977
    • journal article
    • research article
    • Vol. 145  (2) , 161-168
Abstract
A 23 yr experience with papillotomy, sphincterotomy and sphincteroplasty for stenosis of the sphincter of Oddi showed sphincteroplasty to be the best procedure, with 79% of patients obtaining a good result. The procedure was done for a demonstrable organic change in the sphincter, often associated with acute cholecystitis in older patients, the postcholecystectomy syndrome in those in whom a long cystic stump was left at the 1st operation or in patients with chronic recurring pancreatitis. The study included 138 private patients observed from 2 mo.-22 yr. There were 4 postoperative deaths, an operative mortality of 2.9%, as 2 patients were operated upon twice. Poor results were associated with recurring attacks of pancreatitis not cured by the procedure or developing subsequent to it, probably being attributable to persistent obstruction of the terminal part of the pancreatic duct. Sphincteroplasty, if performed on suitably selected patients, is a safe procedure which should give good results in more than 75% of patients.

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