Long-term efficacy of endoscopic papillo-sphincterotomy for common bile duct stones and benign papillary stenosis

P. A. Testoni, A. Tittobello

Research output: Contribution to journalArticle

Abstract

Since its introduction in 1974, endoscopic sphincterotomy (EST) for common bile duct stones and benign papillary stenosis has become a well-established therapeutic procedure; however, at present, its long-term efficacy in comparison with that of biliary tract surgery remains a matter of debate. The long-term results observed during our follow-up (4 ±2 years) were satisfactory, revealing the disappearance of or an improvement in symptoms in 85.6% of subjects who had undergone EST. Recurrent stones were documented in 10.2% of patients; EST-related stenosis occurred in 3.8% of cases, approximately 3 times more frequently in papillary stenosis than in choledocholithiasis, likely due to the presence of a more extended incision in cases with common duct stones. A gallbladder in situ did not seem to be an additional risk factor after EST. As documented in other recent follow-up studies, the long-term efficacy of EST seems to be confirmed and comparable with that of biliary surgery.

Original languageEnglish
Pages (from-to)135-139
Number of pages5
JournalSurgical Endoscopy and Other Interventional Techniques
Volume5
Issue number3
DOIs
Publication statusPublished - Oct 1991

Keywords

  • Endoscopie sphincterotomy
  • Follow-up
  • Long-term efficacy

ASJC Scopus subject areas

  • Surgery

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