Henry Ford Hospital Medical Journal


Division of the sphincter of Oddi has a definite place i n the surgical treatment of disorders of the biliary tract and pancreas. Sphincterotomy may be indicated as a matter of necessity; for convenience (utility), and as a prophylactic measure (for security). The papilla may be conveniently exposed by antegrade bougienage with filiform passed through the common duct before duodenotomy. The first hundred and the last hundred of a series of 400 sphincterotomies were reviewed. In the first group, the procedure was done in almost onethird of the opera tions forbiliaryand pancreatic disease, while in the second group, it was used in only one-sixth of the cases. The mortality in the first group was 2%, in the second group, 3%.