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Late Result of Sphincteroplasty in the Treatment of Primary Cholangitis

Late Result of Sphincteroplasty in the Treatment of Primary Cholangitis Abstract • Sphincteroplasty is one of the surgical procedures used in the treatment of primary cholangitis. We performed this operation on 342 patients over a 13-year period, with an operative mortality of 4.7%. Postoperative examination of 271 patients (average follow-up, seven years four months) showed that a good result was achieved in 226 patients, a fair result in 23 patients, and a poor result in 22 patients. Analysis of the reoperations in 17 patients shows that stone reformation is the most common finding, followed by sphincteroplasty stricture, liver abscess, and empyema of the gallbladder. When performed with proper indications in the management of primary cholangitis, sphincteroplasty is a safe procedure, and the majority of patients can expect good results. (Arch Surg 1981;116:1173-1175) References 1. Ong GB: A study of recurrent pyogenic cholangitis . Arch Surg 1962;84:63-89.Crossref 2. Ong GB, Kwong KH, Cheng FCY: Extraperitoneal transduodenal choledochoduodenostomy for removal of overlooked common bile duct stones . Aust NZ J Surg 1970;40:166-170.Crossref 3. Ong GB, Lam KH, Lam SK, et al: Acute pancreatitis in Hong Kong . Br J Surg 1979;66:398-403.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Late Result of Sphincteroplasty in the Treatment of Primary Cholangitis

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References (4)

Publisher
American Medical Association
Copyright
Copyright © 1981 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1981.01380210047009
Publisher site
See Article on Publisher Site

Abstract

Abstract • Sphincteroplasty is one of the surgical procedures used in the treatment of primary cholangitis. We performed this operation on 342 patients over a 13-year period, with an operative mortality of 4.7%. Postoperative examination of 271 patients (average follow-up, seven years four months) showed that a good result was achieved in 226 patients, a fair result in 23 patients, and a poor result in 22 patients. Analysis of the reoperations in 17 patients shows that stone reformation is the most common finding, followed by sphincteroplasty stricture, liver abscess, and empyema of the gallbladder. When performed with proper indications in the management of primary cholangitis, sphincteroplasty is a safe procedure, and the majority of patients can expect good results. (Arch Surg 1981;116:1173-1175) References 1. Ong GB: A study of recurrent pyogenic cholangitis . Arch Surg 1962;84:63-89.Crossref 2. Ong GB, Kwong KH, Cheng FCY: Extraperitoneal transduodenal choledochoduodenostomy for removal of overlooked common bile duct stones . Aust NZ J Surg 1970;40:166-170.Crossref 3. Ong GB, Lam KH, Lam SK, et al: Acute pancreatitis in Hong Kong . Br J Surg 1979;66:398-403.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Sep 1, 1981

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