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[Other methods: dilatation, T-tube (author's transl)]
Langenbecks Archiv Fur Chirurgie
|November 1, 1978
Summary
Dilatation is a safe and effective treatment for stenosis of the papilla, with no mortality observed in 12 complications. This surgical approach offers a simple solution for patients undergoing choledochus operations.
Area of Science:
- Gastroenterology and Surgical Procedures
- Hepatobiliary Surgery
Context:
- Choledochotomy is performed in a significant number of cholelithiasis surgeries.
- Stenosis of the papilla is a common complication requiring intervention.
Purpose:
- To evaluate the safety, simplicity, and effectiveness of papillary dilatation for treating stenosis of the papilla.
- To compare dilatation with other interventions like papillotomy and biliodigestive anastomosis.
Summary:
- In 4058 cholelithiasis operations, 1063 involved choledochotomy.
- Papillary dilatation was performed in 944 patients, with 12 reported complications (perforation, pancreatitis, restenosis) but no mortality.
- Primary closure of the choledochus was achieved in 838 cases, with T-tube insertion in 106.
Impact:
- Papillary dilatation is presented as a safe, simple, and effective method for managing stenosis of the papilla.
- The findings support the preference for dilatation over other surgical options in specific cases.