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Related Experiment Videos

[Long term results after endoscopic sphincterotomy]

E Seifert, K Gail, J Weismüller

    Deutsche Medizinische Wochenschrift (1946)
    |April 23, 1982
    PubMed
    Summary
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    Endoscopic sphincterotomy effectively treats bile duct stones, with over 90% success. However, complications like bleeding and pancreatitis occur in 7.55%, and outcomes are poorer for papillary stenosis.

    Area of Science:

    • Gastroenterology
    • Hepatobiliary Surgery
    • Endoscopic Procedures

    Context:

    • Endoscopic sphincterotomy (ES) is a key procedure for managing biliary tract diseases.
    • Choledochal stones are the primary indication for ES, but papillary stenosis and tumors also necessitate the intervention.
    • The study analyzes data from 9041 ES procedures across 25 centers.

    Purpose:

    • To evaluate the indications, complications, mortality, and long-term outcomes of endoscopic sphincterotomy.
    • To compare the results of ES for choledocholithiasis versus papillary stenosis.
    • To assess the efficacy and safety of ES as an emergency measure.

    Summary:

    • Choledochal stones (83.9%) are the main indication for ES, followed by papillary stenosis (10.64%) and tumors (2.06%).

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  • Complications occur in 7.55% of cases, with hemorrhage being most frequent, followed by pancreatitis, cholangitis, and perforation. Mortality is 1.12%.
  • Long-term success is high (91.62% stone-free), but outcomes are less favorable for papillary stenosis, with higher mortality and perforation risk.

    • Impact:

    • Endoscopic sphincterotomy demonstrates high efficacy in clearing bile duct stones and improving patient symptoms.
    • Understanding complication rates and risk factors aids in patient selection and procedural planning.
    • The findings support the continued use of ES, including as an emergency intervention, while highlighting areas for improved outcomes in specific patient groups.