Methods for endoscopic sphincterotomy (EST) in patients with Billroth-II partial gastrectomy
are described. The techniques have been successfully used in 13 out of 18 patients
with common bile duct calculi (n = 12) and papillary carcinoma (n = 1). In all patients
the calculi were passed after EST. In one case cholangitis occurred after EST. The
patient was successfully treated with antibiotics.
It is concluded that EST may be performed in most cases with a previous Billroth II
operation using differentiated endoscopic techniques.
Billroth II partial gastrectomy - Choledocholithiasis - Duodenoscopy - Endoscopic
cannulation - Endoscopic sphincterotomy - Operative endoscopy - Papillary carcinoma
