title: Extended transduodenal sphincteroplasty for bile duct stones associated with a periampullary diverticulum.
abstract: Extended transduodenal sphincteroplasty has been suggested as an alternative to choledochoduodenostomy for the surgical management of bile duct stones associated with a periampullary diverticulum but its value has not previously been investigated. Over a 3 year period, nine patients underwent extended transduodenal sphincteroplasty for common bile duct calculi associated with a periampullary diverticulum with no operative or post-operative mortality and minimal morbidity. Follow-up ranging from 20 to 60 months has shown remission of pain in all but one patient, who has had a normal endoscopic cholangiogram and no further episodes of jaundice or cholangitis. Extended transduodenal sphincteroplasty is a safe and effective alternative to choledochoduodenostomy for the surgical management of choledocholithiasis associated with a periampullary diverticulum.
authors.affiliation: Department of Gastrointestinal Surgery, Turkey Advanced Specialization Hospital, Ankara.
authors.forename: M
authors.initials: M
authors.lastname: Akoglu
authors.forename: B
authors.initials: B
authors.lastname: Sahin
authors.forename: B R
authors.initials: BR
authors.lastname: Davidson
mesh_terms: D000368:Aged; D014670:Ampulla of Vater / Q000601:surgery*; D003137:Common Bile Duct Diseases / Q000150:complications / Q000601:surgery; D004240:Diverticulum / Q000150:complications / Q000601:surgery*; D005260:Female; D042882:Gallstones / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013105:Sphincterotomy, Transduodenal / Q000379:methods*