Endoscopic papillotomy and removal of gallstones.
Summarizing our results we come to the following conclusions: 1. In high risk but operable patients, EPT is a useful treatment in cases with choledocholithiasis and with papillary stenosis. 2. The risk of the procedure is lower than by surgical intervention. 3. Complications can occur in 7.3%, most of them within 24 hours. 4. The mortality rate was 1.7% and depends on the precise selection of the patients; on the knowledge of the post-papillotomy treatment and on the experience of the examiner. 5. This procedure, at the present time, should be limited to centers with well trained and experienced endoscopists.
D014670:Ampulla of Vater; D002761:Cholangitis / Q000209:etiology; D002769:Cholelithiasis / Q000601:surgery*; D002779:Cholestasis / Q000209:etiology; D003135:Common Bile Duct; D004724:Endoscopy; D005336:Fiber Optic Technology; D042882:Gallstones / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D008722:Methods; D008875:Middle Aged; D010195:Pancreatitis / Q000209:etiology; D011183:Postoperative Complications