Endoscopic papilosphincterotomy.

Author describes own experience with endoscopic papilosphincterotomy which performed in 29 patients as the first in Czechoslovakia. He succeeded in 29 out of 33 patients, i.e. in 87.9% of cases. Endoscopic papilosphincterotomy was indicated in 24 patients (82.6%) with choledocholithiasis and in 5 patients with benign stenosis of papilla of Vater. In all patients with choledocholithiasis the removal of concretions from biliary passages was successful: in 8 cases (33.3%) they were spontaneously released, in remaining 16 cases (66.7%) they were extracted using the Dormia's basket. In the group of 29 patients, in 2 cases (7.8%) was observed cholangitis which was cured by combined treatment with antibiotics and antispasmodics. Urgent surgery was not necessary in any case.