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- Title
Needle-knife suprapapillary sphincterotomy avoids postprocedure pancreatitis in patients with sphincter of Oddi dysfunction of biliary type II: a report of three cases.
- Authors
Katsinelos, P; Beltsis, A; Paroutoglou, G; Pilpilidis, I; Mimidis, K; Vradelis, S; Soufleris, K; Tsolkas, P; Arvaniti, M; Papadimitriou, A; Baltagiannis, S
- Abstract
We report the cases of three patients who fulfilled the criteria for sphincter of Oddi dysfunction of biliary type II and underwent needle-knife suprapapillary sphincterotomy. These patients presented with episodes of biliary-type pain after cholecystectomy and significant elevation of liver enzymes. Ultrasonography and MRI cholangiography revealed dilatation of the common bile duct, without visible stones. The patients all underwent needle-knife suprapapillary sphincterotomy because free cannulation of the common bile duct could not be achieved. Needle-knife suprapapillary sphincterotomy enabled catheterization of the common bile duct. After clearing of the common bile duct with a balloon catheter, no stones, fragments of stones, or sludge were observed to exit from the sphincterotomy. None of our patients developed postprocedure pancreatitis. When needle-knife suprapillary sphincterotomy is performed by an experienced biliary endoscopist, it is a safe and effective procedure for patients with sphincter of Oddi dysfunction of biliary type II, who otherwise constitute a high-risk group for the development of postsphincterotomy pancreatitis.
- Subjects
PREVENTION of surgical complications; BILE duct diseases; CATHETERIZATION; DUODENUM; ENDOSCOPIC gastrointestinal surgery; PANCREATITIS; PREVENTION
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2004, Vol 18, Issue 5, p868
- ISSN
1866-6817
- Publication type
journal article
- DOI
10.1007/s00464-003-4269-y