{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T16:40:16Z","timestamp":1765644016794,"version":"3.48.0"},"reference-count":13,"publisher":"BMJ","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gut"],"published-print":{"date-parts":[[1985,7]]},"abstract":"<jats:p>One hundred and fifteen patients were reviewed between 18 months and five years after successful endoscopic biliary sphincterotomy for choledocholithiasis, postcholecystectomy in 93 (81%). Thirteen (14%) postcholecystectomy patients and 11 (50%, p less than 0.001) with intact gall bladders are dead (cause of death was ascertained in each case). Of the others, 43 were interviewed and 48 completed a postal questionnaire. Stone free common ducts had been documented in 69 (76%), presumed in 16 (17%), and not achieved in six (7%, excluded from analysis). None of the responding patients had developed serious new problems. Current symptoms of those with and without gall bladders and those with 'documented' and 'presumed' duct clearance are similar. In no case has an episode of cholangitis since sphincterotomy been confirmed and only one patient has had documented recurrent duct stones. Continued incompetence of the sphincter was shown radiologically by the presence of bile duct gas in 14 (41%) of 32 patients. These results suggest that medium term complications of endoscopic sphincterotomy are unusual.<\/jats:p>","DOI":"10.1136\/gut.26.7.730","type":"journal-article","created":{"date-parts":[[2007,9,18]],"date-time":"2007-09-18T17:41:31Z","timestamp":1190137291000},"page":"730-733","source":"Crossref","is-referenced-by-count":12,"title":["Medium term complications of endoscopic biliary sphincterotomy."],"prefix":"10.1136","volume":"26","author":[{"given":"P A","family":"Winstanley","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W R","family":"Ellis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Hamilton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D J","family":"Lintott","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A T","family":"Axon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1985,7,1]]},"reference":[{"key":"ref_1","first-page":"825","article-title":"Endoscopic management of cholelithiasis. Surg Clin NAm","volume":"62","author":"Safrany, L.; Cotton, P.B.","year":"1982","unstructured":"Safrany L, Cotton PB. Endoscopic management of cholelithiasis. Surg Clin NAm 1982; 62: 825-36."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1016\/S0016-5085(77)80100-5","article-title":"Duodenoscopic sphincterotomy and gallstone removal","volume":"72","author":"Safrany, L.","year":"1977","unstructured":"Safrany L. Duodenoscopic sphincterotomy and gallstone removal. Gastroenterology 1977; 72: 338-43.","journal-title":"Gastroenterology"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1002\/bjs.1800680602","article-title":"British experience with duodenoscopic sphincterotomy for treatment of bile duct stones","volume":"68","author":"Cotton, P.B.; Vallon, A.G.","year":"1981","unstructured":"Cotton PB, Vallon AG. British experience with duodenoscopic sphincterotomy for treatment of bile duct stones. 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Dtsch Med Wochenschr 1982; 107: 610-4.","journal-title":"Dtsch Med Wochenschr"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1097\/00004836-198012000-00005","article-title":"Endoscopy and papillotomy in diseases of the biliary tract and pancreas","volume":"2","author":"Siegel, J.H.","year":"1980","unstructured":"Siegel JH. Endoscopy and papillotomy in diseases of the biliary tract and pancreas. J Clin Gastroenterol 1980; 2: 337-47.","journal-title":"J Clin Gastroenterol"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1055\/s-2007-1021671","article-title":"Long term follow up after endoscopic sphincterotomy","volume":"13","author":"Rosch, W.; Riemann, J.F.; Lux, G.; Linder, H.G.","year":"1981","unstructured":"Rosch W, Riemann JF, Lux G, Linder HG. Long term follow up after endoscopic sphincterotomy. 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Am J Surg 1983; 145: 633-9.","journal-title":"Am J Surg"},{"key":"ref_12","first-page":"598","article-title":"Early and late complications after endoscopic sphincterotomy for biliary lithiasis with and without the gall bladder 'in situ'","volume-title":"Gut","volume":"25","author":"Escourrou, J.; Cordova, J.A.; Lazorthes, F.; Frexinos, J.; Ribet, A.","year":"1984","unstructured":"Escourrou J, Cordova JA, Lazorthes F, Frexinos J, Ribet A. Early and late complications after endoscopic sphincterotomy for biliary lithiasis with and without the gall bladder 'in situ'. Gut 1984; 25: 598-602."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1002\/bjs.1800710123","article-title":"The management of common bile duct calculi by endoscopic sphincterotomy in patients with gallbladder in situ","volume":"71","author":"Neoptolemos, J.P.; Carr-Locke, D.L.; Fraser, I.; Fossard, D.P.","year":"1984","unstructured":"Neoptolemos JP, Carr-Locke DL, Fraser I, Fossard DP. 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