ERCP was performed in 57 patients who had undergone Billroth II resection. Cannulation of the papilla of Vater was successfully accomplished in 31 cases (55%). The success rate of ERCP was clearly dependent on the type of Billroth II resection presenting.

A new system for endoscopic implantation and explantation of large-bore biliary endoprostheses is presented. This technique permits corrective placement of prostheses dislodged during implantation, as well as explantation and replacement through the biopsy channel of the endoscope in a single sitting. The method has been successfully employed in 10 patients.

In a 37-year-old woman with recurrent stenosis of a biliary digestive tract anastomosis and subsequent formation of bile stones, current methods of percutaneous management were useful in dilating the stenotic areas but could not remove a single bile stone within the left hepatic duct. It was successfully treated by using extracorporeal shock wave lithotripsy (ESWL) without major side effects.

No abstract

Die endoskopische Therapie von Gallengangsteinen ist aufgrund ihrer hohen Erfolgsrate ( > 95%), ihrer niedrigen Komplikationen (Morbidität 6,8%, Letalität < 1 %) im Vergleich zum alternativen Verfahren die Methode der Wahl bei Gallengangsteinen. Aufgrund der noch nicht endgültig geklärten Langzeitergebnisse und Spätkomplikationen scheint eine Zurückhaltung bei der endoskopischen Papillotomie von jungen Patienten gerechtfertigt. Die endoskopische Therapie von Gallenblasensteinen durch chemische Litholyse über eine nasovesikale Spülsonde befindet sich noch in der Versuchsphase.