[Endoscopic therapy of an adenoma of Vater's papilla]

The authors give an account of a case-history of a patient admitted to the department of surgery on account of obstructive jaundice. ERCP revealed a tumour of the ampulla of Vater and was removed by means of an polypectomy loop. After operation a prompt drop of bilirubin and liver test values was recorded. After three months a check-up ERCP revealed at the site of the papilla patent orifices of the d. choledochus and d. pancreaticus without signs of a relapsing tumour. In benign tumours and under optimal local conditions an endoscopic procedure can be selected.