title: [Transduodenal papillosphincterotomy in treatment of biliary lithiasis].
abstract: The Authors report 180 cases of transdudenal papillosphincterotomy. Medium follow-up at 5 years revealed a complete recovery in 87 of 100 controlled patients. Nine cases revealed persistence of some degree of dyspepsia, while a second operation was necessary for the remaining patients to remove recurrent calculi in 2 cases and because of Oddi's stenosis in other two cases. A 4,4% mortality operative was observed, following postoperative pancreatitis in 1,1%, duodenal fistula or haemorrhage in 1,6%, and 1,6% from other causes. On the basis of their results the Authors conclude that transduodenal papillosphincterotomy is an effective procedure in treating complicated lithiasic biliary disease when respecting the reported indications.
mesh_terms: D014670:Ampulla of Vater / Q000601:surgery*; D002769:Cholelithiasis / Q000601:surgery*; D004386:Duodenum / Q000601:surgery; D042882:Gallstones / Q000601:surgery; D006801:Humans; D011183:Postoperative Complications; D009803:Sphincter of Oddi / Q000601:surgery*
vernacular_title: La papillosfinterotomia transduodenale nel trattamento della litiasi biliare.