Summary
The experience with endoscopic retrograde sphincterotomy (ERS) in one unit is described. ERS was attempted in 65 patients with extra hepatic obstruction of the biliary duct system and was successfully performed in 53 patients. Fifty of the successful group had choledocholithiasis and stone clearance was complete in 47 of these. Eleven patients required more than one endoscopic procedure to achieve clearance. Nineteen patients had intact gallbladders and were considered unfit for surgery, the symptomatic or palliative approach offered by ERS was often the only therapeutic option available.
Details of the complication rate of 12% and the mortality of 3.5% in the generally elderly group treated are given.
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References
Classen, M., Safrany, L. 1975. Endoscopic papillotomy and removal of gall stones. Br. Med. J. iv. 371.
Cotton, P. B., Vallon, A. G. 1981. British experience with duodenoscopic sphincterotomy for removal of bile duct stones. Br. J. Surg. 68, 373.
Geenan, J. E., Vennes, J. A., Silvis, S. E. 1981. Symposium: Resumé of a seminar on endoscopic retrograde sphincterotomy (ERS). Gastrointestinal Endoscopy 27. 31.
Lancet: Editorial 1981. Endoscopic Sphincterotomy ii. 453.
O’Regan, P. F. B., Shanahan, F., Lennon, J. R., Crowe, J. 1982. Successful endoscopic removal of a common bile duct foreign body. Endoscopy 14. 26.
Safrany, L. 1978. Duodenoscopic sphincterotomy and gallstone removal. Gastroenterology 72. 338.
Safrany, L. 1977. Endoscopic Treatment of Biliary Tract Diseases. Lancet ii. 983.
Zimmon, D. S., Falkenstein, D. B., Kessler, R. E. 1975. Endoscopic papillotomy for choledocholithiasis. New Engl. J. Med. 293, 1181.
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O’Regan, P.F.B., Shanahan, F., Gallagher, C. et al. Endoscopic sphincterotomy. I.J.M.S. 152, 373–376 (1983). https://doi.org/10.1007/BF02960747
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DOI: https://doi.org/10.1007/BF02960747