[Therapeutic endoscopic retrograde cholangiography (author's transl)].
Endoscopic papillotomy is a further development of endoscopic cholangiography. This therapeutic procedure was successful in 516 (94.7%) of 545 cases. Choledocholithiasis (405 cases) and papillary stenosis (97) were the main indications for the procedure. Of 405 patients with choledocholithiasis, 376 (93%) are now free of stones. There were 38 (7.4%) complications and 5 (1%) of these had a lethal outcome with (11) (2%) requiring emergency laparotomy. Cholangitis was the most serious complication. It is becoming increasingly evident that the endoscopic papillotomy is replacing reoperation in many cases of choledocholithiasis.
D002758:Cholangiography / Q000379:methods*; D002761:Cholangitis / Q000209:etiology; D002779:Cholestasis / Q000175:diagnosis; D004724:Endoscopy / Q000379:methods*; D042882:Gallstones / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D010195:Pancreatitis / Q000209:etiology; D011183:Postoperative Complications
Therapeutische endoskopisch-retrograde Cholangiographie.