{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T14:30:49Z","timestamp":1769437849765,"version":"3.49.0"},"reference-count":8,"publisher":"BMJ","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gut"],"published-print":{"date-parts":[[1994,1]]},"abstract":"<jats:p>Removal of bile duct stones during endoscopic retrograde cholangiopancreatography (ERCP) usually includes papillotomy. Papillotomy is associated with occasional complications and in addition, the longterm sequelae of papillotomy in young patients having laparoscopic cholecystectomy remain unclear. As an alternative to papillotomy, this study prospectively evaluated the efficacy and safety of endoscopic balloon sphincteroplasty to facilitate bile duct clearance. Of 32 patients with bile duct stones (diameter 3-30 mm) at ERCP, sphincteroplasty was considered inappropriate in four patients because of stone size (&gt; 20 mm) necessitating papillotomy for bile duct clearance. Sphincteroplasty was performed in the remaining 28 patients to permit duct clearance by dormier basket, balloon or mechanical lithotripsy. The bile duct was cleared in 22 patients (79%) while additional measures including papillotomy or stent insertion were required in the remaining six patients (21%) because of stone size or technical difficulties. There was no associated papillary haemorrhage. Pancreatitis was seen in one patient (4%) but resolved within 24 hours. Our preliminary experience suggests that sphincteroplasty is a safe and effective sphincter preservation technique that significantly reduces the necessity for papillotomy in the management of bile duct stones.<\/jats:p>","DOI":"10.1136\/gut.35.1.127","type":"journal-article","created":{"date-parts":[[2007,9,18]],"date-time":"2007-09-18T17:41:31Z","timestamp":1190137291000},"page":"127-129","source":"Crossref","is-referenced-by-count":72,"title":["Endoscopic sphincteroplasty: a novel and safe alternative to papillotomy in the management of bile duct stones."],"prefix":"10.1136","volume":"35","author":[{"given":"P","family":"Mac Mathuna","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"White","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Clarke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Lennon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Crowe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1994,1,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/S0016-5107(91)70637-8","article-title":"Laparoscopic cholecystectomy and the biliary endoscopist","volume":"37","author":"Cotton, P.B.; Ballie, J.; Pappas, T.N.; Meyers, W.S.","year":"1991","unstructured":"Cotton PB, Ballie J, Pappas TN, Meyers WS. Laparoscopic cholecystectomy and the biliary endoscopist. Gastrointest Endosc 1991; 37: 94-7.","journal-title":"Gastrointest Endosc"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1007\/BF02973404","article-title":"Endoscopic management of common duct stones with laparoscopic cholecystectomy","volume":"160","author":"Cronin, K.J.; Kerin, M.J.; Williams, N.N.; Crowe, J.; Mac Mathuna, P.; Lennon, G.","year":"1991","unstructured":"Cronin KJ, Kerin MJ, Williams NN, Crowe J, Mac Mathuna P, Lennon G, et al. Endoscopic management of common duct stones with laparoscopic cholecystectomy. IrJ7 Med Sci 1991; 160: 265-7.","journal-title":"IrJ7 Med Sci"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1016\/S0140-6736(89)90602-8","article-title":"Endoscopic sphincterotomy in a 1000 consecutive patients","volume":"ii:","author":"Vaira, D.; D'anna, L.; Ainley, C.","year":"1989","unstructured":"Vaira D, D'anna L, Ainley C, et al. Endoscopic sphincterotomy in a 1000 consecutive patients. Lancet 1989; ii: 431-3.","journal-title":"Lancet"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1068","DOI":"10.1016\/0016-5085(91)90735-4","article-title":"Complications of endoscopic sphincterotomy: a prospective series with emphasis on increased risk associated with sphincter of Oddi dysfunction and nondilated bile ducts","volume":"101","author":"Sherman, S.; Ruffolo, T.A.; Hawes, R.H.; Lehman, G.A.","year":"1991","unstructured":"Sherman S, Ruffolo TA, Hawes RH, Lehman GA. Complications of endoscopic sphincterotomy: a prospective series with emphasis on increased risk associated with sphincter of Oddi dysfunction and nondilated bile ducts. Gastroenterology 1991; 101: 1068-75.","journal-title":"Gastroenterology"},{"key":"ref_5","first-page":"202","article-title":"Removal of bile duct stones by the combination of percutaneous balloon dilatation and","volume-title":"extracorporeal shockwave lithotripsy. 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Endoscopy 1983; 15: 197-8.","journal-title":"Endoscopy"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1055\/s-2007-1018177","article-title":"Balloon dilation of the sphincter of Oddi","volume":"20","author":"Koserak, R.A.","year":"1988","unstructured":"Koserak RA. Balloon dilation of the sphincter of Oddi. Endoscopy 1988; 20: 207-10.","journal-title":"Endoscopy"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1412","DOI":"10.1136\/gut.33.10.1412","article-title":"Management of common bile duct stones with a biliary endoprosthesis. Report on 40 cases","volume":"33","author":"Peters, R.; Mac Mathuna, P.; Lombard, M.; Karani, J.; Westaby, D.","year":"1992","unstructured":"Peters R, Mac Mathuna P, Lombard M, Karani J, Westaby D. Management of common bile duct stones with a biliary endoprosthesis. Report on 40 cases. Gut 1992; 33: 1412-5.","journal-title":"Gut"}],"container-title":["Gut"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/gut.35.1.127","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,7]],"date-time":"2025-09-07T20:42:16Z","timestamp":1757277736000},"score":1,"resource":{"primary":{"URL":"https:\/\/gut.bmj.com\/lookup\/doi\/10.1136\/gut.35.1.127"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,1]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[1994,1,1]]},"published-print":{"date-parts":[[1994,1]]}},"alternative-id":["10.1136\/gut.35.1.127"],"URL":"https:\/\/doi.org\/10.1136\/gut.35.1.127","relation":{},"ISSN":["0017-5749","1468-3288"],"issn-type":[{"value":"0017-5749","type":"print"},{"value":"1468-3288","type":"electronic"}],"subject":[],"published":{"date-parts":[[1994,1]]}}}