Extended transduodenal sphincteroplasty has been suggested as an alternative to choledochoduodenostomy for the surgical management of bile duct stones associated with a periampullary diverticulum but its value has not previously been investigated. Over a 3 year period, nine patients underwent extended transduodenal sphincteroplasty for common bile duct calculi associated with a periampullary di...

Hakamada, K., Sasaki, M., Endoh, M., Itoh, T., Morita, T. and Konn, M. (1998) Late development of bile duct cancer after sphincteroplasty: A tento twenty-two-year follow-up study. Surgery; 121, 488-492. Background: Transduodenal sphincteroplasty is designed to destroy the sphincteric muscle fibers, producing a terminal choledochoduodenostomy. In the absence of Oddi’s sphincter, intestinal conte...

CONTEXT Although success rates are limited, anal sphincteroplasty is commonly used to treat women with fecal incontinence. OBJECTIVES To investigate the long-term efficacy of a novel surgical procedure-sphincteroplasty with perineal reconstruction-for the management of fecal incontinence. METHODS The current prospective study comprised women presenting to the Division of Urogynecology and R...

Seventy patients in whom sphincteroplasty was performed by an original technique are presented. In 65 cases the indication was stenosis of the sphincter of oddi, associated or not with cholelithiasis or hepatic hydatid disease. There were relative indications in another 5 patients. Sphincteroplasty was achieved with the aid of an original probe, and average length of the incision of the ampulla...

BACKGROUND There is still considerable debate about the value of preoperative anorectal physiological parameters in predicting the clinical outcome after sphincteroplasty. Recently it has been reported that atrophy of the external anal sphincter can be clearly shown with endoanal magnetic resonance imaging (MRI). The aims of this study were to investigate the prevalence of external anal sphinct...

Removal of bile duct stones during endoscopic retrograde cholangiopancreatography (ERCP) usually includes papillotomy. Papillotomy is associated with occasional complications and in addition, the longterm sequelae of papillotomy in young patients having laparoscopic cholecystectomy remain unclear. As an alternative to papillotomy, this study prospectively evaluated the efficacy and safety of en...

OBJECTIVE Anal-sphincter injury may result in faecal incontinence. Sphincteroplasty is usually performed as a primary (immediate) procedure. Delayed sphincteroplasty (DS) can be performed if there is significant trauma or soiling, if the primary procedure has failed, and if the injury was not recognized initially. This study aimed to determine the cost to patient and health service in the event...

History and definitions In 1681 Glisson described a sphincter at the end of the common bile duct, which allowed bile to flow intermittently into the duodenum.' Exactly 200 years later, Oddi portrayed the sphincteric mechanism in greater detail,2 but it was not until 1957 that Boyden unravelled the complexity ofthe anatomical sphincter surrounding the terminus of the common bile duct and pancrea...