Endoscopic sphincterotomy with extraction of the stones is often the only treatment for stones in the bile duct in patients considered unfit for surgery. Most of these patients fare well even when they have stones in the gall bladder; cholecystectomy for biliary colic, acute cholecystitis, or jaundice was necessary in less than 15% followed up for up to seven years. 2 After the procedure patien...

BACKGROUND Anal canal dilatation and sphincterotomy have been recommended besides hemorrhoidectomy to overcome the anal pressures in the management of hemorrhoids. The aim of this study to compare internal sphincterotomy and hemorrhoidectomy with hemorrhoidectomy alone with respect to manometric and clinical measures. METHODS One hundred twenty patients with hemorrhoids were randomly assigned...

Background and study aims Endoscopic sphincterotomy plus large-balloon dilation (ES-LBD) has been reported as an alternative to endoscopic sphincterotomy for the removal of bile duct stones. This multicenter study compared complete endoscopic sphincterotomy with vs. without large-balloon dilation for the removal of large bile duct stones. This is the first randomized multicenter study to evalua...

INTRODUCTION Anal fissure are defined as a tear in the skin of the anal canal distal to dentate line. Although still there are controversies about the exact management, lateral sphincterotomy is promising. The aim of this series is to present the outcome of lateral sphincterotomy for internal anal sphincter in term of patient satisfaction and complication. PATIENT AND METHODS A prospective si...

biliary ascariasis is a common disease in certain geographical areas of the world. the adult form of the worm usually lives in the human intestine. biliary complications due to ascaris infestation are uncommon but are becoming an important clinical problem, as fatal cases have been reported in the literature. many authors have recommended traditional surgical treatment for removal of the worms....

Anal fissure is one of the most common as well as widespread benign diseases of the anus. Fissure development is initiated by a mechanical injury that is induced by hard faecal mass and remains unhealed if the blood flow in the tissue surrounding the fissure is reduced and the relaxation of the internal anal sphincter is impaired. Conservative treatment is administered as the initial treatment ...

BACKGROUND Endoscopic retrograde cholangiopancreatography (ERCP) is widely used to manage post-cholecystectomy bile leaks. However, the best endoscopic intervention remains controversial. We investigated the success of a 7 French double pigtail stent following sphincterotomy in the management of such bile leaks. METHODS Between July 1998 and June 2008, 48 patients were referred for ERCP for p...

can be presenting symptoms of main duct intraductal papillary mucinous neoplasm (main duct IPMN). Given the risk of malignancy with main duct IPMN, surgery is generally recommended [1]. In patients who are not candidates for surgery, pancreatic sphincterotomy can be considered as a possible way to alleviate pancreatitis due to main duct IPMN by facilitating drainage of mucus. A 72-year-old woma...

BACKGROUND Acute pancreatitis is mostly caused by gallstones or sludge. Early decompression of the biliary tree by endoscopic retrograde cholangiography (ERC) with sphincterotomy may improve outcome in these patients. Whereas current guidelines recommend early ERC in patients with concomitant cholangitis, early ERC is not recommended in patients with mild biliary pancreatitis. Evidence on the r...

BACKGROUND AND STUDY AIM Endoscopic retrograde cholangiopancreatography (ERCP) is difficult in patients with altered anatomy following Billroth II gastrectomy. Afferent loop intubation, selective cannulation, and sphincterotomy are the main issues. Experience from a tertiary referral endoscopy center is reported. PATIENTS AND METHODS A total of 713 patients with Billroth II reconstruction who...