Brandstätter G, Kratochvil P, Pesendorfer F X, Reichel W, Samec H J, Schwamberger K, Wewalka F
Z Gastroenterol. 1981 Jan;19(1):22-5.
In 5 gastroenterologic centres in Austria 383 EPT were performed at a total of 10031 ERCP until July 1980. In 350 cases this procedure was successful (91.3%). The most frequent indication was a choledocholithiasis in 300 cases (85.7%). Complete disappearance of gall stones was achieved in 94%. Complications happened in 14 patients (4%), in 4 patients (12%) surgical procedures were necessary consequently. The death rate was 0.6% (2 patients). These favorable results and the low rates of complications and letality of this procedure encourage for the more frequent use of this method for the treatment of choledocholithiasis also in Austria in capable and experienced hands. In view of reducing complications the limitation of the EPT to few specialised centres is demanded.
截至1980年7月,在奥地利的5个胃肠病中心,共进行了10031次内镜逆行胰胆管造影(ERCP),其中383次进行了内镜乳头括约肌切开术(EPT)。在350例病例中,该手术成功(91.3%)。最常见的适应症是胆总管结石,共300例(85.7%)。94%的胆结石完全消失。14例患者(4%)发生并发症,其中4例患者(12%)因此需要进行外科手术。死亡率为0.6%(2例患者)。这些良好的结果以及该手术较低的并发症和死亡率,促使在奥地利,由有能力和经验的医生更频繁地使用这种方法治疗胆总管结石。鉴于减少并发症的考虑,要求将内镜乳头括约肌切开术限制在少数专业中心进行。