[Endoscopic-radiologic diagnosis and therapy of the bile ducts. Results of endoscopic papillotomy].
Endoscopic-radiologic methods for demonstrating the hepatobiliary and pancreatic ducts are an integrated part of the diagnostic spectrum of gastroenterologic centers. At the Charité since 1975 we have made more than 5,500 endoscopic-retrograde cholangio-pancreaticographies (ERCP's). This method provides immediately or later an adequate therapy as an alternative to the otherwise necessary surgery. The most frequently used and basic method is endoscopic papillotomy (EPT). In most cases it precedes endoscopic removal of concrements, prosthetic drainage of biliary pathways or extracorporal shockwave lithotripsy (ESWL). Since 1977 we have carried out 2,050 EPT's at the Charité, more than 60% of these for patients of higher age (above 60). With 98.3% successful interventions complications were seen in only 4.7% of the cases. The influence of close interdisciplinary cooperation of endoscopicists and radiologists on the results of the investigation and the rate of complications is discussed.
Reisinger
W
W
Münster
B
B
Schulz
H J
HJ
Otto
R
R
Seifert
C
C
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D014670:Ampulla of Vater / Q000601:surgery*; D004384:Duodenoscopy; D006801:Humans; D008875:Middle Aged
Endoskopisch-radiologische Gallenwegsdiagnostik und -therapie. Ergebnisse der endoskopischen Papillotomie.