Korean J Gastrointest Endosc.
1998 Aug;18(4):534-541.
Endoscopic Pancreatic Duct Sphincterotomy : Indications, Technique and Safety
- Affiliations
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- 1Department of Internal Medicine, University of Ulsan College of Medicine, Seoul, Korea.
Abstract
- BACKGROUND
S: The aim of this study was to evaluate the indications, techniqe and safety of endoscopic pancreatic duct sphincterotomy.
METHODS
Fifty-four patients, 41 of whom had chronic pancreatitis, underwent endoscopic pancreatic duct sphincterotomy during a 4 year period from 1993 to 1996. We retrospectively reviewed and analyzed the results of the endoscopic pancreatic duct sphincterotomy.
RESULTS
Successful endoscopic pancreatic duct sphincterotomy occurred in 52 (96%) of the cases. No mortalities resulted. Complications occurred in 4 patients (4.8%) and included pancreatitis (n=l), bleeding (n=l), cholangitis (n=1) and stenosis of the sphincterotomy site (n=1). They were successfully managed by medical or endoscopic treatment.
CONCLUSIONS
Endoscopic pancreatic duct sphincterotomy was found to be a safe and feasible procedure involving a high success rate and low rates of complications. The authors conclude that endoscopic pancreatic duct sphincterotomy enlarges our endotherapeutic armamentarium and deserves additional evaluation.
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