Safrany L
Gastroenterology. 1977 Feb;72(2):338-43.
Duodenoscopic sphincterotomy was attempted in 265 patients. The procedure was successful in 243 patients (92%). Indications for sphincterotomy were: 185 patients with choledocholithiasis, 52 patients with papillary stenosis, and 6 patients with ampullary carcinoma. The clinical and biochemical evidence of cholestasis resolved in 222 of the 243 successful patients (91%). Complications consisting of hemorrhage, perforation, pancreatitis, cholangitis, and instrumental injury resulted in three deaths, an over-all mortality of 1.2%. Emergency laparotomy was required in 6 cases (2.5%). Duodenoscopic sphincterotomy is a relatively safe and effective means of relieving certain instances of extrahepatic cholestasis. The complication and mortality rates appear lower than those with equivalent conventional surgical techniques.
对265例患者尝试进行十二指肠镜括约肌切开术。该手术在243例患者中成功（92%）。括约肌切开术的适应证为：185例胆总管结石患者、52例乳头狭窄患者和6例壶腹癌患者。243例手术成功的患者中有222例（91%）胆汁淤积的临床和生化证据得到缓解。由出血、穿孔、胰腺炎、胆管炎和器械损伤组成的并发症导致3例死亡，总死亡率为1.2%。6例（2.5%）患者需要急诊剖腹手术。十二指肠镜括约肌切开术是缓解某些肝外胆汁淤积情况的一种相对安全有效的方法。其并发症和死亡率似乎低于同等传统手术技术。
