[Double sphincterostomy of pancreatic and choledochal sphincters in the treatment of chronic recurrent pancreatitis].
The treatment of recurrent chronic pancreatitis is controversial. Some patients may have sphincter of Oddi motor abnormalities. Although widely used in the biliary tree, little data is available on endoscopic sphincterotomy of the pancreatic sphincter. This report describes 5 patients with recurrent chronic pancreatitis, who had pancreatic sphincterotomy for hypertensive sphincter of Oddi. Four patients continue long-term follow-up with marked reduction of chronic pain of attacks of recurrent pancreatitis. It is concluded that endoscopic sphincterotomy of the pancreatic sphincter may improve pain in chronic pancreatitis and may obviate the need for surgery.
Servicio de Gastroenterología, Hospital General del Oeste, MSAS, Los Magallanes, Catia, Caracas.
M
M
Guelrud
S
S
Mendoza
J
J
Plaz
V
V
Mujica
D000293:Adolescent; D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002908:Chronic Disease; D003137:Common Bile Duct Diseases / Q000601:surgery; D005260:Female; D006801:Humans; D008365:Manometry; D008875:Middle Aged; D010195:Pancreatitis / Q000601:surgery*; D012008:Recurrence; D013004:Somatostatin; D009803:Sphincter of Oddi / Q000601:surgery*; D016717:Sphincterotomy, Endoscopic
D013004:Somatostatin
La esfinterotomía doble del esfínter pancreático y coledociano en el tratamiento de la pancreatitis crónica recidivante.