Endoscopic balloon sphincteroplasty for benign papillary stenosis--an alternative to surgical or endoscopic papillotomy?

Ir J Med Sci. 1993 Sep;162(9):355-7. doi: 10.1007/BF02942166.

Abstract

Benign papillary stenosis is an uncommon but well recognised cause of recurrent biliary pain usually in post-cholecystectomy patients characterised by biliary dilatation without bile duct calculi or malignancy. Endoscopic or surgical papillotomy is the recommended treatment but may be associated with a higher complication rate than when performed for bile duct stones. We report 2 cases of papillary stenosis treated by endoscopic balloon dilatation or "sphincteroplasty", as a less traumatic intervention which improved biliary drainage and provided symptomatic relief. Our preliminary experience suggests more widespread evaluation of balloon sphincteroplasty should be considered for papillary stenosis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Catheterization / methods*
  • Common Bile Duct Diseases / etiology
  • Common Bile Duct Diseases / therapy
  • Constriction, Pathologic / etiology
  • Constriction, Pathologic / therapy
  • Endoscopy, Digestive System
  • Female
  • Humans
  • Sphincter of Oddi*