We report on two patients. The first patient is a 62-year-old female patient who had
cholecystectomy in 1970, and in whom two small bile duct stones were removed after
endoscopic sphincterotomy in 1987. Within two months of this procedure, she developed
three episodes of documented acute pancreatitis. The other patient, a 58-year-old
female, developed acute pancreatitis three months after an endoscopic sphincterotomy
for stones in the common bile duct. In both patients, ERCP revealed a cicatricial
stenosis of the common bile duct and the pancreatic duct. The condition was resolved
by repeat sphincterotomy. The first patient needed repeated endoscopic insertion of
bilioduodenal endoprostheses and an endoprosthesis in the pancreatic duct. It is interesting
to note that, in contrast to surgical reports, very few postpapillotomy stenoses are
reported by endoscopists.
Choledocholithiasis - ERCP - Postendoscopic sphincterotomy stenosis
