Endoscopic sphincterotomy (ES) has an important role in the management of biliary stones.
However, the long-term effects of free duodenobiliary reflux are unclear.
In this study, researchers from England assessed the symptoms of biliary disorder in 136 patients who had undergone ERCP and ES under a single surgeon between 1993 and 1998.
Current addresses were available for 94 of the patients. Of these, 57% returned the team's questionnaire.
|42% of patients denied having any symptoms.|
The patients were surveyed a mean of 43 months after ES.
The team found that 42% of patients denied having any symptoms.
Nausea and pale stools were reported by 28% and 26% of patients, respectively.
The researchers found that nearly one-fifth of patients had symptoms suggestive of cholangitis.
The team determined that 19% experienced 1 or more symptoms frequently.
Drs Macadam and Goodall concluded, "Severe long-term symptoms are uncommon following ES; however, a significant minority of patients do suffer occasional symptoms that suggest biliary dysfunction".