[Emergency endoscopic papillosphincterotomy in a department of surgery]

During 1992-1994 at the Second Surgical Clinic of the Faculty Hospital (St. Ann) in Brno a total o 66 urgent ERCP were performed on account of acute pancreatis, cholangitis and rapidly progressing jaundice of the obstructive type. After the diagnostic part of the examination endoscopic papillosphincterotomy followed in 58 patients. A 92% success was achieved in endoscopic papillosphincterotomy and 77% success as regards sanation of the biliary pathways during the first session. The authors emphasize the advantages of these endoscopic method in surgical departments.