[Emergency ERCP and acute biliary pancreatitis].

In the period from 1992 to 1997, a total of 130 urgent therapeutic ERCPs were performed at the 2nd Department of Surgery of the Faculty of Medicine in Brno. The examination was indicated because of acute pancreatitis, acute septic cholangitis, and papillary ileus. Fifty nine patients with proven acute biliary pancreatitis and successful endoscopic papillosphincterotomy were followed up subsequently.

[100 emergency ERCPs performed at a surgery department].

Since the year 1989 the authors, surgeons, performed more then 1600 ERCP. In the period of 1992 to 1995 urgent ERCP was indicated in one hundred cases when block of papila Vateri, cholangitis or acute pancreatitis were suspected. Our results in ERCP were: cholangitis with common bile duct stones 14, pancreatitis acuta biliaris 53, pancreatitis acuta nonbiliiaris 28, other diagnosis 1.

[Initial experience with percutaneous endoscopic gastrostomy in a surgery department].

The authors present their initial experience with percutaneous endoscopic gastrostomy and draw attention to its advantages and risks. As a basis they use their own group of patients, most of them in a very poor condition where it proved possible to ensure by this method enteral nutrition on a long-term basis.

[How to grasp the gallbladder reliably].

The authors describe a new laparoscopic instrument to be used for reliable gripping of tissue. The instrument is very simple from the technical aspect. Due to the firm and reliable grip the preparation of tissue is greatly facilitated.

[Juxtapapillary diverticulum--the effect on endoscopic interventions and diagnosis].

Juxtapapillary diverticula are found in the contemporary population according to various sources in 10-20%. Their importance in the pathogenesis of some diseases and symptoms is beyond doubt, while in other cases, such as pancreatic diseases, it is doubtful. In the submitted material the authors evaluate experience assembled during endoscopic examinations and interventions on the papilla Vateri implemented in 1988.