Transduodenal Sphincteroplasty and Transampullary Septectomy for Papillary Stenosis

• Published in: HPB Surgery Vol. 1996; no. 4; pp. 199 - 207
• Main Authors: Kelly, S B, Rowlands, B J
• Format: Journal Article
• Language: English
• Published: United States Hindawi Limiteds 1996; Hindawi Publishing Corporation
• Subjects: Abdominal Pain - etiology; Adult; Ampulla of Vater - surgery; Cholangiopancreatography, Endoscopic Retrograde; Cholestasis, Extrahepatic - complications; Cholestasis, Extrahepatic - diagnostic imaging; Cholestasis, Extrahepatic - surgery; Common Bile Duct Diseases - complications; Common Bile Duct Diseases - diagnostic imaging; Common Bile Duct Diseases - surgery; Constriction, Pathologic; Female; Humans; Male; Middle Aged; Pancreatitis - etiology; Pancreatitis - surgery; Postcholecystectomy Syndrome - surgery; Sphincter of Oddi; Sphincterotomy, Transduodenal; transampullary septectomy; Transduodenal sphincteroplasty; papillary stenosis
• ISSN: 0894-8569; 1607-8462
• DOI: 10.1155/1996/89190

Twenty patients received transduodenal sphincteroplasty and transampullary septectomy between 1987 and 1993. Seven patients had post-cholecystectomy pain which was much improved or abolished in 5 of 7 patients at a mean follow-up of 4 years and 5 months. Four of five patients with chronic pancreatitis were improved at 3 years and 2 months. Three of five patients with recurrent acute pancreatitis were improved at 4 years and 5 months. One of three patients with chronic abdominal pain of hepatobiliary origin was improved at 3 years. Transduodenal sphincteroplasty and transampullary septectomy can relieve pain in patients with post-cholecystectomy pain, recurrent acute pancreatitis, chronic pancreatitis, and chronic abdominal pain of hepatobiliary origin, presumably by improving drainage of the obstructed ducts.