PubMed · 730012
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J E Geenen. 1978. Endoscopic sphincterotomy.. https://doi.org/10.1016/s0016-5107(78)73553-4
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Whipple's operation is a big intervention. Only through it have patients with serious and severe diseases of the duodenopancreatic region a real chance of cure. The decision to perform Whipple's operation in chronic relapsing pancreatitis, which in principle is a benign disease, is certainly not a light one. But there is no doubt that the chronic inflammatory and abscess-forming diseases of the head of the pancreas cannot be considered benign, either clinically or morphologically. The results are not satisfying, but understandable in view of the severity of the disease and the magnitude of the operation. In addition to operative experience, a better early diagnosis in particular gives a better chance of survival.
Two infants who had obstructive jaundice due to congenital stenosis of the ampulla of Vater improved dramatically with sphincteroplasty. In one, the jaundice was complicated by hepatocellular dysfunction and mild biliary cirrhosis. Only a few cases of such an anomaly have been reported, mostly with different modes of clinical presentation.