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Endoscopic Papillotomy (Sphincterotomy)

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Cannulation of
the bile duct

Papillotomy

Papillotomy

Papillotomy

After the papillotomy

Extracted gall stones

Endoscopic papillotomy (sphincterotomy) is the treatment of choice in the management of common bile duct stones. In a patient with acute cholangitis and/or pancreatitis, emergency Endoscopic Retrograde Cholangio-Pancreaticography (ERCP) and sphincterotomy reduces morbidity and mortality, and the associated risk is significantly smaller than the operative morbidity or mortality associated with a surgical exploration and cholecystectomy.

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December 5, 2011