Abstract
Endoscopic retrograde internal biliary drainage (ERIBD) has been developed in our country as a non-surgical biliary drainage in recent years. This new procedure has become to be highly appreciated as well as PTCD which was the best biliary drainage, because this is safe, effective, internal biliary drainage. However, we could not succeeded in ERIBD in all cases of pancreato-biliary carcinoma with obstructive jaundice. Now we have to find out some indications of ERIBD. We have performed ERIBD in five cases of carcinoma of the duodenal papilla, and succeeded without endoscopic sphinctero-papillotomy in all cases in our clinic. It has been used with great effectiveness as a non-operative biliary drainage before the operation in four cases and as a permanent drainage one case. It is concluded that ERIBD is the most non-invasive biliary drainage in cases of pancreato-biliary carcinoma, and especialy, it is the first approach to treatment in cases of carcinoma of the duodenal papilla.
