[Alternative endobiliary operations for choledocholithiasis and papilla of Vater stenosis].

The immediate results of endoscopic papillosphincterotomy (EPST) (n=754) and endobiliary balloon dilatation (n=120) were comparatively analyzed. Survey included patients with choledocholithiasis and papilla Vateri stenosis. The use of balloon dilatation and EPST was defined by the size and amount of gallstones.

[Percutaneous transhepatic papillosphincterotomy and roentgen endobiliary dilatation in cholelithiasis complicated by mechanical jaundice].

A comparative analysis of treatment was made in two groups of patients with cholelithiasis complicated by mechanical jaundice who for certain causes could not be subjected to endoscopic retrograde endobiliary interventions. Percutaneous transhepatic antegrade papillosphincterotomy and endobiliary balloon dilatation extend the possibilities of rendering medical care to this category of patients. The main indications to antegrade interventions are: impossible retrograde cannulation of the major duodenal papilla, impossible endoscopic control of the position of the papillotome in the papilla zone.

[Risk assessment of the acute pancreatitis development after papilla Fateri balloon dilatation].

Data of 241 patients with acute cholecystitis, complicated with obstructive jaundice are analyzed. The risk of the acute pancreatitis development after choledocholithotomy, endoscopic papillosphincterotomy (EPST) and balloon dilatation of the papilla Fateri is assessed. Thus, choledocholithotomy and EPST, combined with the simultaneous manipulations on the terminal part of the common bile duct, are more often followed by the acute pancreatitis.