<Originals>Endoscopic Sphincterotomy : Report of an Initial Experience

概要

論文の詳細を見る
An initial series of patients who were treated with endoscopic sphincterotomy (EST) for choledocholithiasis and papillary stenosis was reviewed. EST was attempted in 18 patients and was successful in 17 (94.4%). Of 12 patients with choledocholithiasis (6 with impacted stones) basket extraction was attempted immediately after EST in 5 patients and 3 to 10 days later in 4,and was successful in all. Four of the 10 patients with gallbladder in situ underwent cholecystectomy one to three weeks after EST. In 3 patients with papillary stenosis EST was successfully performed to unroof the narrow distal segment. EST was also utilized as a preparatory procedure for the endoscopic introduction of biliary prosthesis in 2 patients with obstructive jaundice. Four patients developed immediate complications such as bleeding, acute pancreatitis and possible perforation, but responded favorably to conservative management. Follow-up studies from one month to 3 years revealed no late complications. EST has proved to be an effective and relatively safe method for the treatment of choledocholithiasis and papillary stenosis.
近畿大学の論文
1983-12-28