title: Endoscopic sphincterotomy in acute gallstone pancreatitis and cholangitis: a Saudi hospital experience.
abstract: Thirty-five patients with acute gallstone pancreatitis and/or cholangitis underwent endoscopic sphincterotomy. In 15 out of 18 patients with acute gallstone pancreatitis, common bile duct (CBD) stones, 5 of which were impacted, were removed. This resulted in prompt improvement in 12 of these patients. Eleven patients had acute gallstone cholangitis in ten of whom--including one patient who had cholangiocarcinoma associated with Clonorchis sinensis--CBD stones were extracted. Six other patients had both acute pancreatitis and cholangitis, one of whom had a choledochal cyst and had surgery; another patient with a post-surgical CBD fistula and retained stone, improved following stone extraction and nasobiliary tube insertion. The duration of hospitalization ranged between 5 and 19 days in the 26 patients treated endoscopically, and between 25 and 90 days in the 9 surgically treated patients.
authors.affiliation: Gastroenterology Division, Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia.
authors.forename: M A
authors.initials: MA
authors.lastname: al Karawi
authors.forename: A R
authors.initials: AR
authors.lastname: el Shiekh Mohamed
authors.forename: M G
authors.initials: MG
authors.lastname: al Shahri
authors.forename: M I
authors.initials: MI
authors.lastname: Yasawy
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002761:Cholangitis / Q000097:blood / Q000000981:diagnostic imaging / Q000601:surgery*; D002769:Cholelithiasis / Q000097:blood / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006772:Hospitals, Military; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000097:blood / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D012189:Retrospective Studies; D012529:Saudi Arabia; D016717:Sphincterotomy, Endoscopic