Question 308 · LEK · Surgery of the bile ducts and gallbladder

Endoscopic papillotomy (sphincterotomy) allows for accessing the bile ducts and subsequent stone removal. Which of the following is a contraindication to this procedure?

  1. A. coagulation abnormalities.
  2. B. insulin-dependent diabetes mellitus.
  3. C. history of cholecystectomy.
  4. D. portal hypertension.
  5. E. obstructive jaundice.
Hint

Sphincterotomy means cutting the papilla with diathermy — which condition makes that cut dangerous?

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