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Extended transduodenal sphincteroplasty for bile duct stones associated with a periampullary diverticulum.
  1. M. Akoglu,
  2. B. Sahin,
  3. B. R. Davidson
  1. Department of Gastrointestinal Surgery, Turkey Advanced Specialization Hospital, Ankara.

    Abstract

    Extended transduodenal sphincteroplasty has been suggested as an alternative to choledochoduodenostomy for the surgical management of bile duct stones associated with a periampullary diverticulum but its value has not previously been investigated. Over a 3 year period, nine patients underwent extended transduodenal sphincteroplasty for common bile duct calculi associated with a periampullary diverticulum with no operative or post-operative mortality and minimal morbidity. Follow-up ranging from 20 to 60 months has shown remission of pain in all but one patient, who has had a normal endoscopic cholangiogram and no further episodes of jaundice or cholangitis. Extended transduodenal sphincteroplasty is a safe and effective alternative to choledochoduodenostomy for the surgical management of choledocholithiasis associated with a periampullary diverticulum.

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