July 1980

Endoscopic Papillotomy

Author Affiliations

Murray, Ky

Arch Surg. 1980;115(7):889. doi:10.1001/archsurg.1980.01380070075017

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To the Editor.—This is in support of the editorial by Fisher and McSherry regarding endoscopic papillotomy in the Archives (114:991-992, 1979). There seems to have been an increase in the number of articles appearing in the literature concerning papillary stenosis during the past few years. I cannot quarrel with the indications for papillotomy in patients with recurrent common duct stones or possibly even cholangitis. However, the entity of papillary stenosis is a different matter. I was fortunate to have served as a first assistant to the late James T. Priestly, MD, at the Mayo Clinic, Rochester, Minn, in the mid-1960s. I well recall hearing Dr Priestly comment on more than one occasion that he could not remember seeing a case of primary papillary stenosis without an underlying reason, such as carcinoma or stricture from previous surgical manipulation. In my present private practice, I perform biliary surgery from one to

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