Endoscopic sphincterotomy for bile duct stones

The British Journal of Radiology
J A SummerfieldA P Kirk


This paper reports the results of endoscopic sphincterotomy for bile duct stones in 50 patients. A design for a spincterotomy handle and a suitable stainless steel diathermy wire are described. Sphincterotomy was achieved in 45 patients (90%) and complete stone clearance in 42 (84%); this usually required two endoscopic examinations. Complications occurred in nine patients. Haemorrhage and pancreatitis were the most serious resulting in one laparotomy (haemorrhage) and one death (pancreatitis). Periampullary diverticula in 11 patients (22%) did not influence the success rate or the frequency of complications. A "pre-cut" in 11 patients (22%) permitted a later successful sphincterotomy in eight. Stone size (up to 3.5 cm) did not appear to influence outcome, but complete stone clearance was only achieved in two out of eight with more than ten bile duct calculi. Symptoms have not recurred up to three years after sphincterotomy. The data indicate that endoscopic sphincterotomy is of major value in high-risk patients with bile duct calculi and is also appropriate for most low-risk patients with retained stones after cholecystectomy.


Nov 15, 1975·British Medical Journal·M Classen, L Safrany
Nov 1, 1978·American Journal of Surgery·C Liguory, P Loriga
Nov 1, 1976·Gastrointestinal Endoscopy·D S ZimmonR E Kessler
May 1, 1974·Gastrointestinal Endoscopy·K KawaiY Koli
Dec 9, 1965·The New England Journal of Medicine·K W Warren, G A KUNE
Sep 1, 1972·Annals of Surgery·L W WayJ E Dunphy
Apr 1, 1969·Archives of Surgery·R C HaffW F Ballinger
Jul 1, 1966·Archives of Surgery·J H Landor, C C Fulkerson
Jan 1, 1980·The British Journal of Surgery·M SlooffC W Venables
Jan 1, 1980·The British Journal of Surgery·P B Cotton
May 1, 1962·The Australian and New Zealand Journal of Surgery·G A KUNE


Mar 1, 1985·Postgraduate Medical Journal·C GreenfieldS Sherlock
Jul 1, 1982·Current Problems in Surgery·R K Tompkins, H A Pitt
Mar 1, 1989·The Australian and New Zealand Journal of Surgery·C S WorthleyJ Toouli

Related Concepts

Endoscopic Retrograde Cholangiopancreatography
Surgical Endoscopy
Postoperative Complications
Greater Duodenal Papilla Structure
Common Bile Duct Calculi

Trending Feeds


Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Lipidomics & Rhinovirus Infection

Lipidomics can be used to examine the lipid species involved with pathogenic conditions, such as viral associated inflammation. Discovered the latest research on Lipidomics & Rhinovirus Infection.

Alzheimer's Disease: MS4A

Variants within the membrane-spanning 4-domains subfamily A (MS4A) gene cluster have recently been implicated in Alzheimer's disease in genome-wide association studies. Here is the latest research on Alzheimer's disease and MS4A.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Torsion Dystonia

Torsion dystonia is a movement disorder characterized by loss of control of voluntary movements appearing as sustained muscle contractions and/or abnormal postures. Here is the latest research.

Generating Insulin-Secreting Cells

Reprogramming cells or using induced pluripotent stem cells to generate insulin-secreting cells has significant therapeutic implications for diabetics. Here is the latest research on generation of insulin-secreting cells.

Central Pontine Myelinolysis

Central Pontine Myelinolysis is a neurologic disorder caused most frequently by rapid correction of hyponatremia and is characterized by demyelination that affects the central portion of the base of the pons. Here is the latest research on this disease.

Epigenome Editing

Epigenome editing is the directed modification of epigenetic marks on chromatin at specified loci. This tool has many applications in research as well as in the clinic. Find the latest research on epigenome editing here.