Transduodenal sphincteroplasty with transampullary septectomy for stenosing papillitis

Stenosing papillitis is the narrowing of the lower end of the biliopancreatic ducts, possibly as a result of repeated passage of gallstones or recurrent attacks of acute pancreatitis. Severe episodes of upper abdominal pain years after cholecystectomy are the principal symptom. The diagnostic evaluation should exclude other conditions and demonstrate an abnormal manometric profile of the papillary region on transendoscopic retrograde study. Analgesic therapy is the common treatment. Transduodenal sphincteroplasty and transampullary septectomy are indicated in some patients.