EXTERNAL SPHINCTEROTOMY FOR PANCREATITIS

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Endoscopic sphincterotomy without cholecystectomy for gall stone pancreatitis.

Fifty one patients (median age 78, range 54-92) who had endoscopic sphincterotomy for gall stone pancreatitis without planned cholecystectomy were followed up to assess the effectiveness of this treatment in preventing further acute pancreatitis. In 48 patients sphincterotomy was technically successful and none had further acute pancreatitis after a mean follow up of 26.9 months. In three patie...

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Preliminary experience with pancreatic sphincterotomy as treatment for intraductal papillary mucinous neoplasm-associated recurrent pancreatitis

Background and study aims  Pancreatic intraductal papillary mucinous neoplasms (IPMN) are cystic tumors of the pancreas characterized by a malignant potential. IPMN have been associated with recurrent pancreatitis (RP). Obstruction of the main pancreatic duct by thick mucus has been postulated to be the cause of pancreatitis. In a few isolated reports, pancreatic sphincterotomy (PS) has been re...

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Rapid Urine Trypsinogen-2 Test for the Early Detection of Pancreatitis in Endoscopic Sphincterotomy Patients

Objective Endoscopic sphincterotomy is more invasive and time-consuming than diagnostic endoscopic retrograde cholangiopancreatography. Abdominal discomfort is also more common, and it is difficult to distinguish pain caused by pancreatitis from other procedural reasons (e.g., gas-related). We used the rapid urine trypsinogen-2 test (UT test) as a screen for early diagnosis of endoscopic sphinc...

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An Adult Choledochocele Case Presented with Acute Pancreatitis: Treatment by Endoscopic Sphincterotomy and Cyst Unroofing

Choledochocele is a cystic dilatation of the intraduodenal portion of the common bile duct that can protrude into the duodenum. Although often classified as type III biliary cyst, choledochocele has distinctive demographic and anatomic features, and is associated with a lower risk of malignancy as compared to other types of choledochal cysts. Patients with this condition present with biliary co...

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A Case of Biliary Pancreatitis Which Subsided after Endoscopic Sphincterotomy during Pregnancy

A 24-year-old pregnant patient was referred to us because of pain and tenderness in the right upper quadrant. Her liver enzymes and bilirubin levels were elevated; an abdominal ultrasound examination revealed gallstones within the gallbladder. Diagnosis of biliary pancreatitis was established based on elevated amylase levels. Oral intake was withheld; intravenous antibiotic therapy and total pa...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 1953

ISSN: 0003-4932

DOI: 10.1097/00000658-195307000-00004