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....

Full description

Saved in:
Bibliographic Details
Published in:Gut Vol. 28; no. 2; pp. 142 - 145
Main Authors: Marbet, U A, Stalder, G A, Faust, H, Harder, F, Gyr, K
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
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
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.
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