title: [Transduodenal papillotomy and divulsion of the papilla in the treatment of benign obstructions of the common bile duct (retrospective analysis of 186 cases)].
abstract: An analysis is presented of 186 cases of biliary benign obstruction, treated with transduodenal sphincterotomy or dilatation-divulsion of the papilla of Vater. The morbidity and mortality rates due to specific complications were 5.4% and 1.6% respectively. No cases of post-operative pancreatitis were observed. Long-term results were re-evaluated in 46 patients after a mean post-operative interval of 18 years. The follow-up demonstrated that the result was completely satisfactory in 70% of cases; fair in 17%, with gastroenterological symptoms not likely related to the biliary disease; poor in 13%, with residual stones or stenosis of the sphincter of Oddi.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D014670:Ampulla of Vater / Q000601:surgery*; D003137:Common Bile Duct Diseases / Q000601:surgery*; D003251:Constriction, Pathologic / Q000601:surgery; D004106:Dilatation / Q000379:methods; D005260:Female; D042882:Gallstones / Q000601:surgery; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D012189:Retrospective Studies
vernacular_title: Papillotomia transduodenale e divulsione della papilla nel trattamento delle ostruzioni benigne della via biliare principale (analisi retrospettiva di 186 casi).