<p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</p> <p>Twenty patients received transduodenal sphincteroplasty and transampullary septectomy between 1987
and 1993. Seven patients had post-cholecystectomy pain which was much improved or abolished in 5 of 7
patients at a mean follow-up of 4 years and 5 months. Four of five patients with chronic pancreatitis were
improved at 3 years and 2 months. Three of five patients with recurrent acute pancreatitis were improved
at 4 years and 5 months. One of three patients with chronic abdominal pain of hepatobiliary origin was
improved at 3 years. Transduodenal sphincteroplasty and transampullary septectomy can relieve pain in
patients with post-cholecystectomy pain, recurrent acute pancreatitis, chronic pancreatitis, and chronic
abdominal pain of hepatobiliary origin, presumably by improving drainage of the obstructed ducts.</p>
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HPB Surg. 1996; 9(4):199-207