title: Indications and results of sphincteroplasty in benign biliary diseases.
abstract: A retrospective analysis of 143 patients submitted to sphincteroplasty at the Department of Surgery, University of Chile Clinical Hospital was performed. A significant percentage of these patients (90%) were admitted due to acute biliary tract disease with or without cholangitis. The standard operative procedure was anterior transduodenal sphincteroplasty with supraduodenal choledochal exploration leaving a choledochostomy. A high number of our cases presented with intrahepatic lithiasis (23.8%). The morbidity was 15.4% and the 30 days post operative mortality rate was 4.9%, similar to other reports. Residual stones were observed in 10 patients (7%), and were successfully removed by other procedures. Three patients showed recurrent stenosis of the papilla and were operated on again with good results.
authors.affiliation: Department of Surgery, University Hospital Santiago, Chile.
authors.forename: H
authors.initials: H
authors.lastname: Chiong
authors.forename: A
authors.initials: A
authors.lastname: Csendes
authors.forename: P
authors.initials: P
authors.lastname: Burdiles
authors.forename: J C
authors.initials: JC
authors.lastname: Diaz
authors.forename: R
authors.initials: R
authors.lastname: de la Cuadra
authors.forename: J
authors.initials: J
authors.lastname: Yarmuch
authors.forename: H
authors.initials: H
authors.lastname: Schutte
authors.forename: I
authors.initials: I
authors.lastname: Braghetto
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001660:Biliary Tract Diseases / Q000601:surgery*; D002769:Cholelithiasis / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality; D012189:Retrospective Studies; D013105:Sphincterotomy, Transduodenal / Q000379:methods