Elsevier

The Lancet

Volume 334, Issue 8660, 19 August 1989, Pages 431-434
The Lancet

Hospital Practice
ENDOSCOPIC SPHINCTEROTOMY IN 1000 CONSECUTIVE PATIENTS

https://doi.org/10.1016/S0140-6736(89)90602-8Get rights and content

Abstract

Between 1983 and 1988, endoscopic sphincterotomy was attempted on 1000 consecutive patients with a clinical diagnosis of bileduct stones in a centre with a policy to establish immediate bileduct drainage for retained stones. Endoscopic cholangiography was successful in 985 patients, of whom 782 had visible stones and 203 had a dilated bileduct but no visible stones. Endoscopic sphincterotomy was successful in 975 of these patients, with eventual bileduct clearance in 674 of 772 patients (87·3%) with visible stones; immediate bileduct drainage was achieved in 160 of the 161 patients (99%) in whom bileduct clearance failed at the first attempt. Overall, 771 of 797 patients (96·7%) with visible bileduct stones had successful bileduct clearance or drainage. Complications occurred in 6·9%, with a 30-day mortality rate of 1·2%, but procedure-related mortality was only 0·6%.

References (20)

  • Dm Sullivan et al.

    Biliary tract surgery in the elderly

    Am J Surg

    (1982)
  • Jf Dowsett et al.

    Endoscopic biliary therapy using the combined percutaneous and endoscopic technique

    Gastroenterology

    (1989)
  • Pb Cotton

    Endoscopic management of bile duct atones—apples and oranges

    Gut

    (1984)
  • Jf Dowsett et al.

    Interventional endoscopy in the pancreatobiliary tree

    Am J Gastroenterol

    (1988)
  • Br Davidson et al.

    Endoscopic sphincterotomy for common bile duct calculi in patients with gall bladder in situ considered unfit for surgery

    Gut

    (1988)
  • D. Vaira et al.

    Is duodenal diverticulum a risk factor for sphincterotomy?

    Gut

    (1989)
  • T. Leese et al.

    Successes, failures, early complications and their management following endoscopic sphincterotomy. Results in 394 consecutive patients from a single centre

    Br J Surg

    (1985)
  • As Mee et al.

    Non-operative removal of bile duct stones by duodenoscopic sphincterotomy in the elderly

    Br Med J

    (1981)
  • J. Escourrou et al.

    Early and late complications after endoscopic sphincterotomy for biliary lithiasis with and without the gallbladder in situ

    Gut

    (1984)
There are more references available in the full text version of this article.

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