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[Endoscopic papillotomy in the treatment of choledocholithiasis--technic, indications, results]
1Klinik für Innere Medizin Theodor Brugsch, Bereiches Medizin (Charité) der Humboldt-Universität zu Berlin.
Unlabelled:
Endoscopic papillotomy (EPT) has good short- and long-term results in the non-operative treatment of common bile duct stones. Advantages are low risk, short hospital stay and short unfit to work. On the basis of the literature and own experiences that derive from 2,500 EPT the author discusses preparation, technique, indications, contraindications, complications, and results of the procedure. EPT successfully had been performed in 98.3% of cases. All bile duct stones could be removed in 92%.
Indications:
choledocholithiasis 2013 (456 with gallbladder in situ, 24 with acute biliary pancreatitis), benign papillary stenosis 125, papillary carcinoma 57, other indications 305.
Complications:
4.6% (115); bleeding 36, pancreatitis 36, cholangitis/stone impaction 30, retroduodenal perforation 13; urgent operation 1.2% (30), mortality 0.5% (12).