Abstract
I. medizinische Klinik, Stadtisches Krankenhaus, Kemperhof, Koblenz, West Germany Endoscopic papillotomy (EPT) in patients with juxtapapillary diverticula is reported. EPT has been performed in 60 cases between Feb. '75 and Oct. '77. Indications were choledocholithiasis with or without gallbladder stones (50 cases), papillary stenosis (4 cases) and others (6 cases). In these 50 patients with choledocholithiasis 12 cases had juxtapapillary diverticula. EPT was successfully performed in all 12 cases with juxtapapillary diverticula and stones were removed with basket catheter or delivered spontaneously after EPT in 10 cases (83%). Retroperitoneal perfor ation was observed in one patient, but cured after adequate antibiotic therapy. EPT was considered to be a contraindication for juxtapapillary diverticula because of a risk of perforation. But from our result it is concluded that EPT is also useful and effective procedure for removal of choledocholithiasis with juxtapapillary diverticula.
