[Results and risks of needle papillotomy].
Needle knife papillotomy is an effective endoscopic procedure by which endoscopic sphincterotomy can be performed when conventional techniques have failed. We performed 35 (25%) pre-cut papillotomies, out of 142 therapeutic sphincterotomies, to enhance the cannulation of the bile duct in order to complete endoscopic sphincterotomy using standard techniques. In 30/35 patients pre-cut alone was sufficient to cannulate the duct, while in 4 of the remaining 5 patients a further ERCP after 2-8 days after the initial pre-cut was necessary to complete sphincterotomy. Only 4 episodes of bleeding were observed. One patient required transfusion of two units of blood. In our opinion needle knife papillotomy is a safe procedure for increasing the cannulation rate of the bile duct, and thus allow endoscopic sphincterotomy to be performed when conventional technique fails.
Gastroenterologie-Zentrum Hirslanden, Zürich.
R
R
Münch
J
J
Altorfer
D016063:Blood Loss, Surgical; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003137:Common Bile Duct Diseases / Q000601:surgery; D005260:Female; D042882:Gallstones / Q000601:surgery; D006801:Humans; D008297:Male; D016717:Sphincterotomy, Endoscopic / Q000009:adverse effects / Q000379:methods*
Ergebnisse und Risiken der Nadel-Papillotomie.