Endoscopic sphincterotomy of the ampulla of Vater

Kawai, Keiichi; Akasaka, Yuzoh; Murakami, Kenji; Tada, Masahiro; Kohli, Yoshihiro; Nakajima, Masahiro

doi:10.1016/s0016-5107(74)73914-1

Cited by 675 publications

(284 citation statements)

References 12 publications

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“…Endoscopic sphincterotomy (ES) has been the standard method of management for removal of stones from the common bile duct (CBD) since it was described in 1974 [3]. However, when faced with more challenging situations, additional techniques such as mechanical lithotripsy may be utilized.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Balloon Dilatation vs. Sphincterotomy in Cases of Calcular Obstructive Jaundice during Endoscopic Retrograde Cholangio Pancreatography

Rasheed¹

2017

J Gastrointest Dig Syst

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Section: Introductionmentioning

confidence: 99%

Endoscopic Balloon Dilatation vs. Sphincterotomy in Cases of Calcular Obstructive Jaundice during Endoscopic Retrograde Cholangio Pancreatography

Rasheed¹

2017

J Gastrointest Dig Syst

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“…Endoscopic retrograde cholangiopancreatography (ERCP) with endoscopic sphincterotomy (ES) is the most widely used technique for treating choledocholithiasis (CL) [1,2]. However, a number of factors may greatly complicate the extraction of the stones.…”

Section: Introductionmentioning

confidence: 99%

Efficacy and safety of sphincterotomy with sphincteroplasty using large caliber balloons in the treatment of choledocholithiasis with extraction difficulties

Uribarrena-Amezaga¹,

Serna²,

Calvo-Morillas³

et al. 2013

OJGas

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Introduction: Endoscopic retrograde cholangiopancreatography (ERCP) with endoscopic sphincterotomy (ES) is the most widely used technique for treating choledocholithiasis.In some cases, due to anomalies of the papilla or the presence of large or multiple calculi, additional maneuvers are needed to remove the stones. The present study investigates the efficacy and safety of ES with sphincteroplasty (SP) in the management of choledocholithiasis with extraction difficulties. Patients and Methods: A prospective study was made of 153 patients with choledocholithiasis subjected to ERCP. Fifty-two patients underwent ES with SP, while 101 were subjected only to ES. The two groups were compared in terms of age, gender, percentage cannulation, presence of papilla alterations, large or multiple stones, success in stone removal and complications (acute pancreatitis, bleeding and perforation). In the ES with SP group, we moreover recorded the diameters of the balloons employed (10 -18 mm). Results: There were no significant differences between the groups in the stone extraction success rate (94.23% in the ES with SP group versus 97.03% in the ES group) or in the appearance of complications (3.8% in the ES with SP group versus 2.7% in the ES group). The presence of difficult papillae, and of multiple or large stones was significantly greater in the ES with SP group. The diameter of the balloon was not associated with the appearance of complications. Conclusion: Endoscopic sphincterotomy with sphincteroplasty is effective and safe in the treatment of choledocholithiasis with extraction difficulties.

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“…Endoscopic sphincterotomy (ES) of the ampulla of Vater was first performed almost three decades ago (1,2) and is the treatment of choice for choledocholithiasis, especially in elderly or high risk patients. With the advent of laparoscopic cholecystectomy, ES has been widely used for extracting common bile duct stones even in younger and healthier patients.…”

mentioning

confidence: 99%

“…Linear endosonography coupled with Doppler imaging provides real-time ultrasound imaging during FNA (2). Cytologic material is aspirated using a small gauge needle directed through the gastrointestinal wall and into the pancreas (3).…”

mentioning

confidence: 99%

What are really the true late complications of endoscopic biliary sphincterotomy?

Sheth¹

2002

The American Journal of Gastroenterology

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Endoscopic sphincterotomy of the ampulla of Vater

Cited by 675 publications

References 12 publications

Endoscopic Balloon Dilatation vs. Sphincterotomy in Cases of Calcular Obstructive Jaundice during Endoscopic Retrograde Cholangio Pancreatography

Endoscopic Balloon Dilatation vs. Sphincterotomy in Cases of Calcular Obstructive Jaundice during Endoscopic Retrograde Cholangio Pancreatography

Efficacy and safety of sphincterotomy with sphincteroplasty using large caliber balloons in the treatment of choledocholithiasis with extraction difficulties

What are really the true late complications of endoscopic biliary sphincterotomy?

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