Endoscopic Pancreatic Duct Sphincterotomy : Indications, Technique and Safety / 대한소화기내시경학회지

ABSTRACT

BACKGROUNDS The aim of this study was to evaluate the indications, techniqe and safety of endoscopic pancreatic duct sphincterotomy. METHODS: Fifty-four patients, 41 of whom had chronic pancreatitis, underwent endoscopic pancreatic duct sphincterotomy during a 4 year period from 1993 to 1996. We retrospectively reviewed and analyzed the results of the endoscopic pancreatic duct sphincterotomy. RESULTS: Successful endoscopic pancreatic duct sphincterotomy occurred in 52 (96%) of the cases. No mortalities resulted. Complications occurred in 4 patients (4.8%) and included pancreatitis (n=l), bleeding (n=l), cholangitis (n=1) and stenosis of the sphincterotomy site (n=1). They were successfully managed by medical or endoscopic treatment. CONCLUSIONS: Endoscopic pancreatic duct sphincterotomy was found to be a safe and feasible procedure involving a high success rate and low rates of complications. The authors conclude that endoscopic pancreatic duct sphincterotomy enlarges our endotherapeutic armamentarium and deserves additional evaluation.