Papillotomietechniken

Um Interventionen am Gallen- oder Pankreasgang durchführen zu können, bedarf es fast immer der Eröffnung des Verschlussapparats dieser Gangsysteme im Bereich der Papille. Diesen Eingriff nennt man endoskopische Papillotomie (EPT) bzw. Sphinkterotomie, da hierbei der Sphinkterapparat der Papille durchtrennt wird.

• Literatur

• 1 Fujimoto T, Tsuyuguchi T, Sakai Y. et al. Long-term outcome of endoscopic papillotomy for choledocholithiasis with cholecystolithiasis. Dig Endosc 2010; 22: 95-100
• 2 Seifert H, Binmoeller KF, Schmitt T. et al. [A new papillotome for cannulation, pre-cut or conventional papillotomy]. Z Gastroenterol 1999; 37: 1151-1155
• 3 Kubota K, Sato T, Kato S. et al. Needle-knife precut papillotomy with a small incision over a pancreatic stent improves the success rate and reduces the complication rate in difficult biliary cannulations. J Hepatobiliary Pancreat Sci 2013; 20: 382-388
• 4 Fiocca F, Fanello G, Cereatti F. et al. Early 'shallow' needle-knife papillotomy and guidewire cannulation: an effective and safe approach to difficult papilla. Therap Adv Gastroenterol 2015; 8: 114-120
• 5 Kim TN, Lee SH. Endoscopic Papillary Large Balloon Dilation Combined with Guidewire-Assisted Precut Papillotomy for the Treatment of Choledocholithiasis in Patients with Billroth II Gastrectomy. Gut Liver 2011; 5: 200-203
• 6 Soehendra N, Kempeneers I, Nam VC. et al. Endoscopic dilatation and papillotomy of the accessory papilla and internal drainage in pancreas divisum. Endoscopy 1986; 18: 129-132
• 7 Dhir V, Bhandari S, Bapat M. et al. Comparison of EUS-guided rendezvous and precut papillotomy techniques for biliary access (with videos). Gastrointest Endosc 2012; 75: 354-359
• 8 Bolzan HE, Spatola J, Gonzalez J. et al. [Precut Vaterʼs papilla. Prospective evaluation of frequency of use, effectiveness, complication and mortality. Cooperative study in the northwest of the province of Buenos Aires]. Acta Gastroenterol Latinoam 2001; 31: 323-327