title: [Sphincteroplasty: its value in the treatment of distal lithiasis of the choledochus].
abstract: Twenty patients in whom sphincteroplasty was performed are presented. In 12 cases the indication was choledocholithiasis with stone impacted in the distal bile duct; 5 cases with choledocholithiasis and oddian stenosis, and 3 cases with residual choledocholithiasis associated with oddian stenosis. The average length of the incision of the ampullary area was 25 mm. The postoperative control made by tube cholangiography evidenced the presence of a wide open choledochoduodenal opening. Amylase activity was followed in all patients. One case of acute pancreatitis and one case of choledochal fistula were recorded as postoperative complications.
authors.affiliation: Departamento de Gastroenterologia da Faculdade de Medicina da Universidade de São Paulo.
authors.forename: E
authors.initials: E
authors.lastname: Chaib
authors.forename: C de M
authors.initials: Cde M
authors.lastname: de Oliveira
authors.forename: L L
authors.initials: LL
authors.lastname: Santana
authors.forename: N
authors.initials: N
authors.lastname: Toloi Júnior
authors.forename: J B
authors.initials: JB
authors.lastname: de Mello
mesh_terms: D000328:Adult; D000368:Aged; D005069:Evaluation Studies as Topic; D005260:Female; D042882:Gallstones / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D013105:Sphincterotomy, Transduodenal / Q000379:methods*
vernacular_title: Esfincteroplastia: sua validade no tratamento da litíase do colédoco terminal.