[Endoscopic papillotomy in patients with the gallbladder in situ]

Out of 731 endoscopic papillotomies (EPT), 175 (24%) were performed in patients with gallbladders in place. Gallstones were detected in 91 cases both in the gallbladder and in the bile ducts. The EPT resulted in a symptomless condition in 44 of these cases without surgery. In 47 patients the cholecystectomy became necessary later and since the cholostasis ceased the surgery could be done among better conditions. The EPT is recommended also in patients with gallbladder in situ because the surgery will be for some of these patients after the EPT unnecessary. However in that condition the risk of acute cholecystitis increases after EPT.