2017 Volume 59 Issue 3 Pages 291-295
A 71-year-old man who had undergone transduodenal sphincteroplasty for carcinoma of the papilla of Vater at a different hospital ten years previously, was referred to our hospital because of fever and nausea. Abdominal computed tomography demonstrated choledocholithiasis, and we diagnosed obstructive jaundice and cholangitis. After conservative therapy, endoscopic retrograde cholangiopancreatography (ERCP) revealed stenosis of the papilla of Vater as a result of postoperative change and multiple bile stones. Therefore, we performed endoscopic sphincterotomy (EST) and endoscopic papillary large balloon dilation (EPLBD), and the bile duct stones were successfully removed without complications. We considered that EST should be the first choice of treatment for choledocholiths after transduodenal sphincteroplasty.
