1986 Volume 28 Issue 3 Pages 523-530
In recent several years, endoscopic sphincterotomy (EST) of the papilla of Vater has become a common method of treatment for biliary duct stone, instead of surgical operation. Moreover, the technique, instrument and indication for EST have been developed rapidly. We have attempted EST in three cases of the anomalous arrangement of a pancreaticobiliary duct system. It was concluded that EST was not always contraindication in this disease and EST was an useful treatment for the complication in follow up cases with non congenital choledocal cyst (non-CCC). Of course, cases of anomalous pancreaticobiliary duct system classified in non-CCC type should be followed up strictly because of high risk of association with biliary cancer. On the other hand, we concluded that EST was not suitable in cases of CCC, because of some demerits induced by EST.
