Late result of sphincteroplasty in the treatment of primary cholangitis
T. K. Choi, J. Wong, K. H. Lam, T. K. Lim and G. B. Ong
Sphincteroplasty is one of the surgical procedures used in the treatment of
primary cholangitis. We performed this operation on 342 patients over a
13-year period, with an operative mortality of 4.7%. Postoperative
examination of 271 patients (average follow-up, seven years four months)
showed that a good result was achieved in 226 patients, a fair result in 23
patients, and a poor result in 22 patients. Analysis of the reoperations in
17 patients showed that stone reformation is the most common finding,
followed by sphincteroplasty stricture, liver abscess, and empyema of the
gallbladder. When performed with proper indications in the management of
primary cholangitis, sphincteroplasty is a safe procedure, and the majority
of patients can expect good results.