Endoscopic sphincterotomy for the dysfunction of Oddi sphincter in postcholecystectomy syndrome
- VernacularTitle:胆囊切除术后奥狄括约肌功能障碍的内镜治疗
- Author:
Yongxiang WANG
;
Tao WU
;
Zongzheng JI
- Publication Type:Journal Article
- Keywords:
Postcholecystectomy syndrome;
Oddi's sphincter;
Sphincterotomy endoscopic
- From:
Chinese Journal of Digestive Endoscopy
2001;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To approach the treatment value of endoscopic sphincterotomy for the dysfunction of Oddi sphincter in postcholecystectomy syndrome.Methods Endoscopic sphincterotomy was undergone in 28 cases with ultimate diagnosis of Oddi sphincter dysfunction after BUS, ERCP , basal sphincter pressure examination and ruled out the patients with retained or recurrent stones,stricture or carcinoma in the bile duct having postcholecystectomy syndrome.Results Symptoms disappeared completely after the treatment in 18 cases,alleviated apparently in 5 cases and other 2 cases after the second treatment,without alleviation in 3 cases,the effective rate is 89.3%(25/28).No severe complication happened.Conclusion It is assumed that endoscopic sphincterotomy is a micro-traumatic,safe and effective treatment for the dysfuction of Oddi sphincter in postcholecystectomy syndrome.