A preliminary report: urgent duodenoscopic sphincterotomy for acute gallstone pancreatitis

Surgery. 1981 Apr;89(4):424-8.

Abstract

Eleven patients wtih gallstone-related acute pancreatitis underwent urgent duodenoscopy and diathermy sphincterotomy; six had stones impacted at the papilla of Vater, and the remainder had stones in the bile duct. One patient had a gallstone in the pancreatic duct. Endoscopic removal of the duct stones resulted in a prompt, persistent clinical and biochemical improvement, except in one patient who had been referred from another hospital with a pseudocyst 3 weeks after the onset of illness. Pancreatography results were remarkably normal in the remaining patients. Use of emergency biliary decompression in patients with acute gallstone-related pancreatitis remains controversial, and the indications need clarification. However our results justify further evaluation of duodenoscopic sphincterotomy as an alternative to surgery.

MeSH terms

  • Acute Disease
  • Aged
  • Ampulla of Vater / surgery*
  • Cholelithiasis / complications
  • Cholelithiasis / diagnostic imaging
  • Cholelithiasis / surgery*
  • Duodenoscopy
  • Emergencies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pancreatitis / diagnostic imaging
  • Pancreatitis / etiology
  • Pancreatitis / surgery*
  • Radiography