Abstract
In this prospective study the efficacy of endoscopic sphincterotomy was evaluated
in ten post-cholecystectomy patients with clinical and biliary manometric evidence
of SO dysfunction. Ten patients (8 females, 2 males, median age 59 years) were assessed
at a median period of 24 months (range 12-48) after endoscopic sphincterotomy. Eight
of the ten patients (80 %) were symptomatically improved after endoscopic sphincterotomy
although only four were totally asymptomatic. The two patients who had unchanged symptoms
after sphincterotomy have since had alternative diagnoses made and have improved on
appropriate therapy. It is concluded that endoscopic sphincterotomy is effective in
relieving symptoms in post-cholecystectomy patients with clinical and manometric evidence
of SO dysfunction.
