Riemann J F, de Mas R, Kohler B
Z Gastroenterol. 1987 Apr;25(4):221-4.
Endoscopic papillotomy as therapeutic procedure of first choice for common bile duct stones is related with a relatively low complications rate and exhibits a very low method-related mortality. Major complications are cholangitis, pancreatitis, retroduodenal perforation and hemorrhage. In rare cases minor bleedings after papillotomy may lead to coagulation with consecutive obstruction of the papilla. Jaundice without major clinical symptoms will occur. Diagnosis is established by repeated retrograde cholangiography; conservative management is satisfactory and efficient.
内镜下乳头切开术作为胆总管结石的首选治疗方法，其并发症发生率相对较低，且与该方法相关的死亡率极低。主要并发症包括胆管炎、胰腺炎、十二指肠后穿孔和出血。在罕见情况下，乳头切开术后的轻微出血可能导致凝血，继而造成乳头梗阻。会出现无明显临床症状的黄疸。通过反复逆行胆管造影进行诊断；保守治疗效果良好且有效。
