Ma. Alkarawi et al., ENDOSCOPIC SPHINCTEROTOMY IN ACUTE GALLSTONE PANCREATITIS AND CHOLANGITIS - A SAUDI HOSPITAL EXPERIENCE, Hepato-gastroenterology, 40(4), 1993, pp. 396-401
Thirty-five patients with acute gallstone pancreatitis and/or cholangi
tis underwent endoscopic sphincterotomy. In 15 out of 18 patients with
acute gallstone pancreatitis, common bile duct (CBD) stones, 5 of whi
ch were impacted, were removed. This resulted in prompt improvement in
12 of these patients. Eleven patients had acute gallstone cholangitis
in ten of whom - including one patient who had cholangiocarcinoma ass
ociated with Clonorchis sinensis - CBD stones were extracted. Six othe
r patients had both acute pancreatitis and cholangitis, one of whom ha
d a chololedochal cyst and had surgery; another patient with a post-su
rgical CBD fistula and retained stone, improved following stone extrac
tion and nasobiliary tube insertion. The duration of hospitalization r
anged between 5 and 19 days in the 26 patients treated endoscopically,
and between 25 and 90 days in the 9 surgically treated patients.