Endoscopic Sphincteroclasy: A Useful Therapeutic Tool for Biliary Endoscopy in Billroth II Gastrectomy Patients

摘要: Background and Study Aims: Endoscopic exploration of the common bile duct is generally more difficult hazardous in patients with a Billroth II gastrectomy than normal anatomy. Hydrostatic dilation papilla, which we term endoscopic sphincteroclasy, provides useful alternative to sphincterotomy such patients. Patients Methods: sphincteroclasy was carried out five anastomosis. There were four men one woman, aged 58 90 years. One patient cirrhotic, impaired coagulation. Four presented typical cholangitis, had pain jaundice. The dilated all choledocholithiasis cholangiocarcinoma. Results: Sphincteroclasy balloon dilators mounted on 0.035-inch guide wires. Immediate extraction stones achieved three choledocholithiasis. In case, control retrograde cholangiopancreatography necessary remove residual stones, without additional dilation. Insertion endoprosthesis possible difficulty malignant stricture. None required sphincterotomy. No complications observed up six months after sphincteroclasy. Conclusions: We recommend use who require therapy, as well need emergency decompression have