Pancreatic sphincterotomy: Technique, indications, and complications

Jonathan M. Buscaglia, Anthony N. Kalloo

Research output: Contribution to journalArticle

Abstract

Pancreatic sphincterotomy serves as the cornerstone of endoscopic therapy of the pancreas. Historically, its indications have been less well-defined than those of endoscopic biliary sphincterotomy, yet it plays a definite and useful role in diseases such as chronic pancreatitis and pancreatic-type sphincter of Oddi dysfunction. In the appropriate setting, it may be used as a single therapeutic maneuver, or in conjunction with other endoscopic techniques such as pancreatic stone extraction or stent placement. The current standard of practice utilizes two different methods of performing pancreatic sphincterotomy: a pull-type sphincterotome technique without prior stent placement, and a needle-knife sphincterotome technique over an existing stent. The complications associated with pancreatic sphincterotomy are many, although acute pancreatitis appears to be the most common and the most serious of the early complications. As such, it continues to be reserved for those endoscopists who perform a relatively high-volume of therapeutic pancreaticobiliary endoscopic retrograde cholangio-pancreatography.

Original languageEnglish (US)
Pages (from-to)4064-4071
Number of pages8
JournalWorld Journal of Gastroenterology
Volume13
Issue number30
DOIs
StatePublished - Aug 14 2007

Keywords

  • Complications
  • Endoscopic
  • Indications
  • Pancreas
  • Sphincterotomy
  • Technique

ASJC Scopus subject areas

  • Gastroenterology

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