[Oddi's sphincterotomy in treatment of primary sclerous cholangitis].
In the paper are presented a total of 9 patients with primitive sclerous cholangitis that were hospitalized in the Surgical Department of the "Caritas" Hospital with this rare nosologic entity. The etiology of the disease is neither precise nor incontroversial. Primitive sclerous cholangitis raises particularly difficult problems, because of the high mortality rate (all patients die before the 6-th year after the diagnosis has been established. The ineluctable evolution of the disease toward secondary billiary cirrhosis has generated major difficulties in the choice of the treatment. Corticoid therapy and immunosuppressive drugs have been proven inefficient in improving the prognosis. The classical surgical therapy includes methods that are not followed by stable results since the icteric syndrome will show temporary remission, in spite of the fact that the chronic hepatopathy will continue its independent evolution. The authors have not achieved satisfactory results with the classical surgical techniques, which include external biliary draining and peri-hepatic artery neurectomia (either isolated or combined), not with the internal derivations. Since 1971 the authors have used oddian sphincterectomy in the treatment of sclerous cholangitis. The method was introduced following a long clinical and histopathologic study. The immediate and the late results obtained with this technique recommend it as a choice one because it will lead to disappearence of the jaundice and to stabilization of the hepatic lesions.
D000328:Adult; D014670:Ampulla of Vater / Q000601:surgery*; D002758:Cholangiography; D002761:Cholangitis / Q000601:surgery*; D003137:Common Bile Duct Diseases / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009803:Sphincter of Oddi / Q000601:surgery*
Sfincterotomia oddiană în tratametnul colangitei scleroase primitive.