Résultats immédiats et à distance de la sphinctérotomie oddienne endoscopique ou chirurgicale dans le traitement des lithiases de la voie biliaire principale.

Translated title of the contribution: Immediate and long-term results of endoscopic or surgical Oddi sphincterotomy in the treatment of lithiasis of the common bile duct

G. B. Ratto, S. Saitta, E. Silvestri, G. Motta

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Ninety-one patients with choledocholithiasis were admitted for endoscopic (51 cases) or surgical (40 cases) sphincterotomy of Oddi's muscle, and were followed up on a yearly basis thereafter for a period spanning 1 to 5 years. The study protocol included clinical examinations, ultrasonographic investigations and biochemical tests. The post-surgery mortality rate was 3.9% following endoscopic sphincterotomy versus 0% after surgery. Postoperative complications occurred in 3.9% of patients treated endoscopically (bleeding, angiocholitis) and in 5% of surgical patients (bronchopneumonia, suppuration of abdominal wall). Attempts to remove calculi via endoscopic Oddian sphincterotomy failed in 37% of cases. Long-range results were classified as excellent or good in 92% of patients treated endoscopically, and in 100% of cases treated surgically. Endoscopic division of Oddi's sphincter was unsuccessful in 4 patients (8%), who either had recurrent bile-duct stones (2 cases) or developed sphincteric stenosis. Among biochemical indices of biliary stasis, only alkaline phosphatase contents showed a greater increase following endoscopic sphincterotomy than after surgical treatment. Ultrasonographic studies of the bile duct evidenced a greater incidence of air entrapment in the bile ducts of patients subjected to surgical sphincterotomy.

Original languageFrench
Pages (from-to)17-21
Number of pages5
JournalJournal de Chirurgie
Volume127
Issue number1
Publication statusPublished - Jan 1990

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Lithiasis
Common Bile Duct
Endoscopic Sphincterotomy
Bile Ducts
Therapeutics
Sphincter of Oddi
Choledocholithiasis
Bronchopneumonia
Suppuration
Cholestasis
Calculi
Abdominal Wall
Clinical Protocols
Alkaline Phosphatase
Pathologic Constriction
Air
Hemorrhage
Muscles
Mortality
Incidence

ASJC Scopus subject areas

  • Surgery

Cite this

Résultats immédiats et à distance de la sphinctérotomie oddienne endoscopique ou chirurgicale dans le traitement des lithiases de la voie biliaire principale. / Ratto, G. B.; Saitta, S.; Silvestri, E.; Motta, G.

In: Journal de Chirurgie, Vol. 127, No. 1, 01.1990, p. 17-21.

Research output: Contribution to journalArticle

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