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  • Title: [Endoscopic papillosphincterotomy in the treatment of stenosing papillitis and choledocholithiasis].
    Author: Khlebarov I.
    Journal: Vutr Boles; 1989; 28(5):71-4. PubMed ID: 2618011.
    Abstract:
    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.
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