[Place of endoscopic sphincterotomy in the treatment of biliary lithiasis]

Endoscopic sphincterotomy is a benign procedure but occasional complications happen. They require a surgical team used to their specific management. On the other endoscopic sphincterotomy may control surgical insufficiency: retained stones. Main duct stones need a surgical approach, but endoscopy may be a substitute in many cases; this technic is more benign and efficient in most cases.