Transduodenal sphincteroplasty and transampullary septectomy for papillary stenosis.
Twenty patients received transduodenal sphincteroplasty and transampullary septectomy between 1987 and 1993. Seven patients had post-cholecystectomy pain which was much improved or abolished in 5 of 7 patients at a mean follow-up of 4 years and 5 months. Four of five patients with chronic pancreatitis were improved at 3 years and 2 months. Three of five patients with recurrent acute pancreatitis were improved at 4 years and 5 months. One of three patients with chronic abdominal pain of hepatobiliary origin was improved at 3 years. Transduodenal sphincteroplasty and transampullary septectomy can relieve pain in patients with post-cholecystectomy pain, recurrent acute pancreatitis, chronic pancreatitis, and chronic abdominal pain of hepatobiliary origin, presumably by improving drainage of the obstructed ducts.
Kelly
S B
SB
Department of Surgery, Royal Victoria Hospital, Belfast.
Rowlands
B J
BJ
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D014670:Ampulla of Vater / Q000601:surgery; D002760:Cholangiopancreatography, Endoscopic Retrograde; D001651:Cholestasis, Extrahepatic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D003137:Common Bile Duct Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000209:etiology / Q000601:surgery; D017562:Postcholecystectomy Syndrome / Q000601:surgery; D009803:Sphincter of Oddi; D013105:Sphincterotomy, Transduodenal