Endoscopic sphincterotomy and surgical approaches in the treatment of the 'sump syndrome'
The 'sump syndrome' is a rare, late complication of choledochoenterostomies. We observed 13 patients with this syndrome. The clinical features included recurrent cholangitis, liver abscesses, and recurrent pancreatitis. Five patients were treated by surgery, eight patients endoscopically....
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Published in: | Gut Vol. 28; no. 2; pp. 142 - 145 |
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Main Authors: | , , , , |
Format: | Journal Article |
Language: | English |
Published: |
London
BMJ Publishing Group Ltd and British Society of Gastroenterology
01-02-1987
BMJ BMJ Publishing Group LTD |
Subjects: | |
Online Access: | Get full text |
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Summary: | The 'sump syndrome' is a rare, late complication of choledochoenterostomies. We observed 13 patients with this syndrome. The clinical features included recurrent cholangitis, liver abscesses, and recurrent pancreatitis. Five patients were treated by surgery, eight patients endoscopically. Reviewing an average follow up period of 22 months (range 6-60) after therapeutic endoscopy and 57 months (range 1-126) after different surgical procedures, we conclude that endoscopic sphincterotomy with removal of the debris is as efficient a therapy of the 'sump syndrome' as surgical sphincteroplasty and entails a smaller risk for the patient. We therefore advocate that endoscopic papillotomy should first be tried in all cases of 'sump syndrome' in the absence of suprapapillary stricture of the bile ducts. |
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Bibliography: | PMID:3557186 href:gutjnl-28-142.pdf ark:/67375/NVC-RJ6KHLMH-C istex:C05B5507214F7843DA7ABB06C6076747A6668EC0 local:gutjnl;28/2/142 ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0017-5749 1468-3288 1458-3288 |
DOI: | 10.1136/gut.28.2.142 |