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[Endoscopic papillotomy today. Indications and results]
P Purri1, R Pisani, M D'Antonio
1II Facoltà di Medicina e Chirurgia, Istituto di Chirurgia Generale e Trapianti d'Organo, Università degli Studi di Napoli.
Minerva Chirurgica
|February 1, 1990
Summary
Endoscopic papillotomy is a safe and effective treatment for biliary lithiasis, odditis, and cholangitis, especially in high-risk patients. Experienced application ensures excellent outcomes with low morbidity.
Area of Science:
- Gastroenterology
- Surgical Endoscopy
Context:
- Endoscopic papillotomy (EP) has evolved significantly, offering improved therapeutic outcomes.
- Surgeons' perspective on EP is becoming more objective with growing experience.
Purpose:
- To evaluate the long-term efficacy and safety of endoscopic papillotomy in managing biliary lithiasis, odditis, and cholangitis.
- To assess the applicability of EP in patients with complex pathologies and surgical risks.
Summary:
- A personal series of 162 patients with biliary lithiasis, odditis, and cholangitis treated with EP is reviewed.
- EP was primarily indicated for patients with comorbidities or significant surgical risk.
- Factors like biliary lumen, inflammation, and patient age were less critical for EP selection compared to open surgery.
Impact:
- The study demonstrates the absolute usefulness of EP when performed with correct indications and expert technique.
- Results show a low incidence of short- and long-term morbidity, supporting EP's value.
- EP offers a valuable therapeutic option, particularly for high-risk surgical patients.