Post EST Papillary Restenosis: A Case Report.
- Author:
Young Woo SOHN
1
;
Ho Soon CHOI
;
Yoon Joo CHO
;
Dong Soo HAN
;
Yong Cheol JEON
;
Joo Hyun SOHN
;
Byoeng Chul YOON
;
Joon Soo HAHM
;
Min Ho LEE
;
Dong Hoo LEE
;
Choon Suhk KEE
;
Kyung Nam PARK
Author Information
1. Department of Internal Medicine and Institute for Digestive Disease Research, Hanyang University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Endoscopic sphincterotomy;
Papillary restenosis
- MeSH:
Adult;
Causality;
Common Bile Duct;
Constriction, Pathologic;
Female;
Follow-Up Studies;
Hemorrhage;
Humans;
Pancreatitis;
Risk Factors;
Sphincter of Oddi Dysfunction;
Sphincterotomy, Endoscopic
- From:Korean Journal of Gastrointestinal Endoscopy
2000;20(3):235-238
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The occurrence of papillary restenosis following endoscopic sphincterotomy is uncommon and usually reported as a late complication. Its frequency varies from 0.8% to 3% and at present, only a few reports describe the late complication rate for a mean follow-up exceeding 10 years. The diameter of the sphincterotomy opening diminishes by about 30% in the first year without further narrowing, suggesting that restenosis occurs mainly during the first post-sphincterotomy year. Papillary restenosis may be promoted by insufficient cutting and may depend on the indication for EST such as common bile duct stones, papillary stenosis, duodenal diverticular, sphincter of Oddi dysfunction. A bleeding sphincterotomy requiring a sclerosing injection is considered a potential risk factor for papillary stenosis. However, stenosis may develop in the absence of specific predisposing factors. A case of papillary restenosis following endoscopic sphincterotomy for gollstone pancreatitis in a 33-year-old female patient is herein reported.
