Endoscopic papillotomy: a plea for rational restraint.

摘要: Division of Oddi's sphincter may be accomplished under direct vision in the operating room or by electrocautery via endoscope. Regardless technique employed, procedure is associated with recognized complications, some which result death. The limitations and complications sphincteroplasty are well known to general surgeon. Endoscopists beginning appreciate reality this morbidity mortality. We have recently had experience two fatal one nonfatal after endoscopic papillotomy. reason for patients was "stenosis" Vater's ampulla, third patient calculi were present both common duct gallbladder. deaths due pancreatitis cholangitis other. complication a duodenal perforation at ampulla. With any newtherapeutic procedure, excessive enthusiasm lack proper guidelines its overuse. A case