Sphincterotomy/sphincteroplasty for papillary dysfunction: Stenosing papillitis

Michael G. Sarr; Frank G. Moody

doi:10.1007/978-3-540-68866-2_83

Sphincterotomy/sphincteroplasty for papillary dysfunction: Stenosing papillitis

Michael G. Sarr, Frank G. Moody

Gastroenterologic and General Surgery

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

Simple division (5mm) of the anterior surface of the sphincter of Oddi (sphincterotomy) was utilized extensively in the mid 20th century for presumed biliary-pancreatic pain from biliary dyskinesia. Lack of success led to a more generous longer (2-3cm) division of the sphincter with formal sphincteroplasty with only marginal improvement in outcome. Our group and others have utilized a generous sphincteroplasty with division of the transampullary septum to include division of the pancreatic component of the sphincter; with this extended approach, we have achieved good to excellent results in appropriately selected patients. The rationale for the procedure is to allow free egress of bile and pancreatic juice into the duodenum after stimulation from ingestion of a meal. Stenting of even the septotomy can now be accomplished after endoscopic sphincteroplasty in experienced hands.

Original language	English (US)
Title of host publication	Atlas of Upper Gastrointestinal and Hepato-Pancreato-Biliary Surgery
Publisher	Springer Berlin Heidelberg
Pages	811-818
Number of pages	8
ISBN (Print)	9783540200048
DOIs	https://doi.org/10.1007/978-3-540-68866-2_83
State	Published - 2007

ASJC Scopus subject areas

Medicine(all)

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10.1007/978-3-540-68866-2_83

Cite this

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abstract = "Simple division (5mm) of the anterior surface of the sphincter of Oddi (sphincterotomy) was utilized extensively in the mid 20th century for presumed biliary-pancreatic pain from biliary dyskinesia. Lack of success led to a more generous longer (2-3cm) division of the sphincter with formal sphincteroplasty with only marginal improvement in outcome. Our group and others have utilized a generous sphincteroplasty with division of the transampullary septum to include division of the pancreatic component of the sphincter; with this extended approach, we have achieved good to excellent results in appropriately selected patients. The rationale for the procedure is to allow free egress of bile and pancreatic juice into the duodenum after stimulation from ingestion of a meal. Stenting of even the septotomy can now be accomplished after endoscopic sphincteroplasty in experienced hands.",

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Sphincterotomy/sphincteroplasty for papillary dysfunction: Stenosing papillitis

Abstract

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