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  • Title: [Results and risks of needle papillotomy].
    Author: Münch R, Altorfer J.
    Journal: Schweiz Med Wochenschr; 1994 Jun 18; 124(24):1070-3. PubMed ID: 8023106.
    Abstract:
    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.
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