Endoscopic papilosphincterotomy.
Author describes own experience with endoscopic papilosphincterotomy which performed in 29 patients as the first in Czechoslovakia. He succeeded in 29 out of 33 patients, i.e. in 87.9% of cases. Endoscopic papilosphincterotomy was indicated in 24 patients (82.6%) with choledocholithiasis and in 5 patients with benign stenosis of papilla of Vater. In all patients with choledocholithiasis the removal of concretions from biliary passages was successful: in 8 cases (33.3%) they were spontaneously released, in remaining 16 cases (66.7%) they were extracted using the Dormia's basket. In the group of 29 patients, in 2 cases (7.8%) was observed cholangitis which was cured by combined treatment with antibiotics and antispasmodics. Urgent surgery was not necessary in any case.
D000328:Adult; D000368:Aged; D014670:Ampulla of Vater / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000601:surgery; D004724:Endoscopy / Q000379:methods; D005260:Female; D042882:Gallstones / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009803:Sphincter of Oddi / Q000601:surgery