Endoscopic Sphincterotomy in Acute Pancreatitis

  • R. M. Bory
  • R. Lambert
Conference paper


Cholelithiasis is a common finding in acute pancreatitis: 41% according to Mercadier and Baubion (3), 62.5% according to Kelly (2), and 88.6% according to Mouiel et al. (4). Rational endoscopic sphincterotomy is based upon two main factors contributing to treatment and prevention of repetitive attacks of biliary pancreatitis — the complete extraction of stones in the common bile duct and the maintenance of a biliary drainage in the duodenum through a distinct opening, separated from the pancreatic duct. Endoscopic cholangiopancreaticography (ERCP) is well adapted to detection of biliary origin of acute pancreatitis (Dunham et al. (1)), and endoscopic sphincterotomy is proposed when stones are demonstrated in the common bile duct in the course of this exploration.


Pancreatitis Gall Perforation Kelly Dunham 


  1. 1.
    Dunham F, Hermanus A, Delterne M, De Toeuf J, Toussaint J, Cremer M (to be published) The relevance of endoscopic retrograde cholangiopancreatography (ERCP) in acute pancreatitisGoogle Scholar
  2. 2.
    Kelly TR (1976) Gallstone pancreatitis. Physiopathology. Surgery 90: 488–492Google Scholar
  3. 3.
    Mercadier M, Baubion P (1959) Pancréatite aiguë et lithiase biliaire. Rev Prat 9: 2207–2210PubMedGoogle Scholar
  4. 4.
    Mouiel J, Chauvin P, Borelli JP (1975) Le rôle de la microlithiase biliaire dans les pancréatites aiguës. Chirurgie 101: 258–265PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1982

Authors and Affiliations

  • R. M. Bory
  • R. Lambert

There are no affiliations available

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