Richard E. Leach, MD
To the Editors: Aliperti and Edmundowicz (1), in reporting their experience with combined endoscopic sphincterotomy and laparoscopic cholecystectomy in patients with choledocholithiasis and cholecystolithiasis, state that there are "certain innate risks, but the long-term complications appear to be minor." These risks were defined in 1980 (2). Cotton and colleagues (3) quoted an unpublished series demonstrating that "Sphincterotomy was associated with complications in 9% of patients when the bile duct diameter was 7 mm or less, compared with only 1% when it was greater." In 1985, Staritz and colleagues (4) concluded that, "In comparison with endoscopic papillotomy . . . this
Leach RE. Endoscopic Sphincterotomy and Cholecystectomy. Ann Intern Med. 1992;116:775–776. doi: 10.7326/0003-4819-116-9-775_2
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Published: Ann Intern Med. 1992;116(9):775-776.
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