[Endoscopic sphincterotomy experience at the Cancer Control Center]

Area of Science:

• Gastroenterology
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Biliary and pancreatic endoscopy

Context:

• Endoscopic sphincterotomy is a key therapeutic intervention for specific biliary and pancreatic conditions.
• Management of common bile duct stones remains a primary indication for this procedure.
• Experience with sphincterotomy in patients with gallbladders in situ and diagnosed sphincter of Oddi dysfunction is reported.

Purpose:

• To report the clinical experience and outcomes of endoscopic sphincterotomy.
• To analyze the indications, particularly common bile duct stones, and patient demographics.
• To document unusual case findings and complication rates associated with the procedure.

Summary:

• The study reviewed cases undergoing endoscopic sphincterotomy, with 83% indicated for common bile duct stones.
• 67% of these stone cases were residual post-cholecystectomy, while 33% were in patients with intact gallbladders.
• Sphincter of Oddi dysfunction was diagnosed in 7.57% of patients; unusual cases included choledochoceles and Sump syndrome. Complications (bleeding, pancreatitis) were managed medically.

Impact:

• Provides insights into the efficacy and safety of endoscopic sphincterotomy in managing complex biliary conditions.
• Highlights the role of sphincterotomy in treating residual common bile duct stones and diagnosing sphincter of Oddi dysfunction.
• Contributes to understanding the spectrum of indications and potential complications, informing clinical practice and patient management.