Gastroenterology Community
Transduodenal Sphincteroplasty
About This Community:

This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/ Diverticulosis, Digestive Disorders and Stomach Pain.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Transduodenal Sphincteroplasty

Hi,

Just wondering if anybody here has had this surgery? If so, can you please share your experience, success, failure, complications, medical presentation etc....

I am looking at this as an option for me (seeing my surgeon again in Jan) as I have had urq pain for the past 3 years. I had my gallbladder out in Dec 09 but nothing improved.... I have been diagnosed with sphincter of oddi dysfunction and a tight bile duct.
I have had a sphincterotomy on the biliary/main sphincter which on all my ercp reports states is open....

I am just wondering, if the sphincterotomy is still keeping things open, would the sphincteroplasty really help??? Or should I be looking at surgery on the duct as well???

I would appreciate any advice you could offer.

Warmest regards

Sarsi
4 Comments Post a Comment
Blank
Avatar_f_tn
anybody?
Blank
1711789_tn?1361311607
Hi there!

Sphincteroplasty may be an option worth considering for sphincter of Oddi dysfunction; however with a previously done sphincterotomy that is patent, it may not be beneficial. In the situation, other possible causes of your symptoms such as infections, inflammations, motility issues, causes unrelated to the GI etc may need to be considered as well. I would suggest discussing the situation and the management plan in detail with your treating doctor.
Hope this is helpful.

Take care!
Blank
Avatar_f_tn
Thankyou for responding to my question :)

To further the information, I have been treated with biliary stents for 3-4months at a time with great results and significant improvement from the pain while they are in place...

The other surgery that has been suggested is a choledochoduodenostomy, and I'm wondering that if it's the duct as well as the sphincter causing my the issues that this surgery may be the better option......
Blank
1994720_tn?1352745833
DId you end up having the sphincteroplasty? I had mine in October 2012 and am having weird symptoms plus the old right upper quadrant pain. My doctor is suggesting a biliary roux en y but I am very afraid to have another major surgery. Has this been recommended to you? I have free reflux of duodenal contents going into the bile duct.
Blank
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Gastroenterology Community Resources
RSS Expert Activity
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
6 hrs ago by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
Top Digestive Answerers
Avatar_f_tn
Blank
CalGal
CA
Avatar_n_tn
Blank
cnoevl21
Avatar_m_tn
Blank
Morecambe
Weybridge, United Kingdom
Avatar_f_tn
Blank
remar
st. louis, MO
168348_tn?1379360675
Blank
ChitChatNine
9090222_tn?1401649595
Blank
Madpi