[Endoscopic papillosphincterotomy in the treatment of stenosing papillitis and choledocholithiasis].
During the period 1982-1988 the author has performed 532 endoscopic papillosphincterotomies. In 288 patients (53.13%) the gall bladder had been previously surgically removed and they suffered from a well-expressed postcholecystectomy syndrome. In 73.6% of the 532 patients there were one or more stones in the main bile duct. In 76 patients a stenosing papillitis was found. The endoscopic papillosphincterotomy was performed mainly in patients over 65 years of age--244 patients (45.86%) suffering from various cardiovascular and other accompanying diseases which increase the risk of operation. The following complications following the endoscopic papillosphincterotomy occurred: bleedings--0.50, acute pancreatitis--3%, lethality--4 patients (0.75%), three patients died following perforation of the duodenal wall (in spite of the immediate surgical treatment) and one patient died from acute destructive hemorrhagic pancreatitis.
Khlebarov
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D014670:Ampulla of Vater / Q000000981:diagnostic imaging / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002761:Cholangitis / Q000000981:diagnostic imaging / Q000601:surgery*; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000601:surgery; D005500:Follow-Up Studies; D042882:Gallstones / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000453:epidemiology; D013105:Sphincterotomy, Transduodenal / Q000379:methods
Endoskopskata papilosfinkterotomiia pri lechenieto na stenozirashtiia papilit i kholedokholitiazata.