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[Therapeutic endoscopic retrograde cholangiography (author's transl)]
Langenbecks Archiv Fur Chirurgie
|November 1, 1977
Summary
Endoscopic papillotomy is a safe and effective endoscopic retrograde cholangiopancreatography (ERCP) procedure for treating bile duct stones and papillary stenosis. This minimally invasive technique shows high success rates and is increasingly replacing surgical reoperation.
Area of Science:
- Gastroenterology
- Endoscopic procedures
- Biliary tract interventions
Background:
- Endoscopic retrograde cholangiopancreatography (ERCP) is a diagnostic tool for biliary and pancreatic diseases.
- Endoscopic papillotomy (EP) represents an advancement in ERCP, offering therapeutic capabilities.
Purpose of the Study:
- To evaluate the efficacy and safety of endoscopic papillotomy (EP) as a therapeutic intervention.
- To assess the role of EP in managing choledocholithiasis and papillary stenosis.
Main Methods:
- The study involved 545 patients undergoing endoscopic papillotomy.
- Data collected included indications, success rates, complications, and outcomes.
Main Results:
- The procedure demonstrated a high success rate of 94.7% (516/545 cases).
- Primary indications were choledocholithiasis (405 cases) and papillary stenosis (97 cases).
- 93% of patients with choledocholithiasis were cleared of stones; 7.4% experienced complications, with a 1% mortality rate.
Conclusions:
- Endoscopic papillotomy is a highly effective treatment for choledocholithiasis and papillary stenosis.
- The procedure is increasingly favored over surgical reoperation for choledocholithiasis.
- While complications can occur, including cholangitis, the overall safety profile supports its use.