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Endoscopic sphincterotomy in the management of biliary tract disease

Endoscopic sphincterotomy in the management of biliary tract disease

Canadian Medical Association Journal 119(10): 1204-1206

Endoscopic sphincterotomy eliminates the hazards of anesthesia, laparotomy and duodenotomy, but complications of sphincterotomy do occur. The hospital stay is also reduced, from an average of 2 wk after transduodenal sphincterotomy to 2 days after endoscopic sphincterotomy. Although endoscopic sphincterotomy has been reserved for the elderly and patients at high surgical risk, its low mortality and morbidity compared with the rates for transduodenal sphincterotomy will make it the preferred procedure for the treatment of choledocholithiasis and papillary stenosis in younger patients who have had a cholecystectomy.

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Accession: 005359615

Download citation: RISBibTeXText

PMID: 581750

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