© 2004 by BMJ Publishing Group Ltd & British Society of Gastroenterology
COMMENTARY
Bile duct stones
Recurrent bile duct stones after endoscopic sphincterotomy
Duke University Medical Center, Durham, NC, USA
Correspondence to:
Correspondence to:
Dr J Baillie
Duke University Medical Center, Rm 0339 Orange Zone, South Hospital, Trent Drive, Durham, NC 27710, USA; baill001@mc.duke.edu
Multiple endoscopic retrograde cholangiopancreatographies (even three or more) for recurrent bile duct stones appear to be safe and effective. Late complications are relatively frequent but are endoscopically manageable
Keywords: endoscopic sphincterotomy; endoscopic retrograde cholangiopancreatography; recurrent choledocholithiasis; bile duct stones
| The first 150 words of the full text of this article appear below. |
In 1974, Professors Meinhard Classen (Germany) and Keiichi Kawai (Japan) independently published their pioneering experience of endoscopic biliary sphincterotomy (EBS).1,2 This bold innovative work was performed in the face of considerable antagonism from the surgical community, which considered that endoscopists had no business in the biliary tree, traditionally regarded as surgical "turf". In the 30 years since, countless thousands of patients have benefited from EBS, being spared major surgical and radiological procedures. That an electrosurgical incision of a centimetre or less can have such beneficial effect is testament to the ingenuity of the pioneer endoscopists and their partners in industry. EBS is now an everyday event in endoscopy units around the world, the great majority being completed safely and achieving the desired goal. Indeed, we tend to take EBS for granted. The recent National Institutes of Health Consensus Conference Panel deemed endoscopic retrograde cholangiopancreatography (ERCP) and EBS
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