Transduodenal Sphincteroplasty and Transampullary Septectomy for Papillary Stenosis
1996

Surgery for Papillary Stenosis

Sample size: 20 publication Evidence: moderate

Author Information

Author(s): S.B. Kelly, B.J. Rowlands

Primary Institution: Institute of Clinical Science, Royal Victoria Hospital

Hypothesis

The study aims to assess the effectiveness of transduodenal sphincteroplasty and transampullary septectomy in patients with various types of abdominal pain.

Conclusion

Transduodenal sphincteroplasty and transampullary septectomy can relieve pain in patients with post-cholecystectomy pain, recurrent acute pancreatitis, chronic pancreatitis, and chronic abdominal pain of hepatobiliary origin.

Supporting Evidence

  • Five of seven patients with post-cholecystectomy pain were improved by their operation.
  • Four of five patients with chronic pancreatitis were improved following operation.
  • Three of five patients with recurrent acute pancreatitis had complete relief of their symptoms.

Takeaway

Doctors can help people with certain types of stomach pain by doing a special surgery that opens blocked tubes in the body.

Methodology

Twenty patients underwent transduodenal sphincteroplasty and transampullary septectomy, followed up for several years to assess pain relief.

Limitations

The study had a small sample size and relied on subjective reports of pain relief.

Participant Demographics

Mean age was 44 years, with an equal distribution of males and females (10M:10F).

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