Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Research Article Volume 6 Issue 6

What is the Interest of Sphincteroplasty in the Treatment of Large Bile Duct Stones?

Samir Mrabti*, Ahlame Benhamdane, Asmae Sair, Tarik Addajou, Réda Berrida, Sara Sentissi, Ilham Koti, Fedoua Rouibaa, Ahmed Benkirane and Hassan Seddik

Hepato-gastroenterology Department II Mohammed V Military Instruction Hospital/Mohammed V University/Rabat/Morocco

*Corresponding Author: Samir Mrabti, Hepato-gastroenterology Department II Mohammed V Military Instruction Hospital/Mohammed V University/Rabat/Morocco.

Received: April 12, 2023; Published: May 29, 2023

Abstract

The aim of our study is to evaluate the efficacy and safety of sphincteroplasty and to study the factors influencing the success or failure of this technique.

Patients and Methods: This is a descriptive and analytical retrospective study conducted in our department between APRIL 2002 and DECEMBER 2022, including 52 patients who underwent sphincteroplasty for the extraction of a large bile duct stone. The success of the endoscopic treatment was defined by the complete emptiness of the common bile duct (CBD) at the end of the procedure. Statistical analysis was performed using SPSS version 24.0 software. The study of the factors associated with the success of endoscopic treatment was carried out using a logistic regression model.

Results: The average age of our patients was 65.37+/-17.46 years with a female predominance of 56.9%. The mean CBD diameter was 16 mm+/-2.97 [8-24 mm]. 16.51% of patients were cholecystectomized, 2% of patients had acute pancreatitis, on the other hand acute cholangitis was objectified in 9.8% of patients. 7.8% of patients had biliary stenosis and only one patient had periampullary diverticulum. The success rate of sphincteroplasty was 96.1% with no notable complications. None of the factors studied seemed to be associated with the success or failure of sphincteroplasty.

Conclusion: Macrodilation of the sphincter of oddi is a safe and effective technique in the treatment of large bile duct stones. In our study, the success rate was 96.1%, however none of the factors studied was associated with the success or failure of sphincteroplasty.

 Keywords: Large Stones; Common Bile Duct; Macrodilation of the Sphincter of Oddi

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Citation

Citation: Samir Mrabti., et al. “What is the Interest of Sphincteroplasty in the Treatment of Large Bile Duct Stones?". Acta Scientific Gastrointestinal Disorders 6.6 (2023): 25-30.

Copyright

Copyright: © 2023 Samir Mrabti., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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