[A controversial problem: Oddi sphincterotomy in cholangitis].

The classical treatment of angiocholitis consists in desobstruction of the hepatic choledocus duct followed by external biliary drainage. However, this technique is unsuccessful in 66% of the cases, and this leads to difficult surgical reinterventions. In our casuistics are included 196 suppurated angiocholitis of various etiologies : lithiasis, hidatic cyst, post-hidatic angiocholitis, pure oddian angiocholitis etc. The Oddian component is present in a remarkable high number of cases (66%) and this is the reason why neglecting sphincterotomy may be followed by unfavourable results. In the paper the authors present their viewpoint, and the results of 128 interventions on the Oddi sphincter in patients with angiocholitis.