Page 1 of 1: IDEAL TREATMENT ..........

nadu · Credits: 17470 My Scrapbook

Q. Ideal treatment for stenosis of sphincter of ODDI is:

1.Tranceduodenal sphincteroplasty

2.Endoscopic sphincteroplasty

3.Choledocho-jejunostomy

4.Choledocho-duodenostomy

dewly · Credits: 102 My Scrapbook

endoscopic sphincteroplasty would be the best option here

drmalik · Credits: 108 My Scrapbook

vijayandhare · Credits: 78425 My Scrapbook My Reading List 262569 Books

no.
to my opinion transduodenal sphincteroplasty is best option.
endoscopic sphincterotomy possible not plasty.
pls. comment

indianprince · Credits: 503 My Scrapbook

Dear Members,
The ideal option would have been endoscopic sphincteroTOMY. But since it has not been given, the next best is transduodenal sphincteroPLASTY. Of course transduodenal sphincteroTOMY can also be done but PLASTY is better as it eliminates chances of restenosis.

indianprince · Credits: 503 My Scrapbook

Sorry but also wanted to add that endoscopic sphincteroPLASTY is not possible as yet, so the choice given in the question is wrong. Thx

nadu · Credits: 17470 My Scrapbook

sorry !

the second option is endoscopic sphincterotomy not plasty .

but the answer given is option 1....i.e transduodenal sphincteroplasty !

the question was asked in SGPGI -96.

any reference please ?

indianprince · Credits: 503 My Scrapbook

Dear Nadu
Yes indeed the transduodenal PLASTY would be the ideal treatment coz it wont recur later.
For reference see MAINGOT's abdominal surgery

And plz notify if clear

nadu · Credits: 17470 My Scrapbook

DON'T HAVE MAINGOT'S ABDO SURGERY, BUT I WILL TRUST U.

indianprince · Credits: 503 My Scrapbook

THX NADu
u always can

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