The authors describe their experience with the use of a knife needle in endoscopic papillotomy. They use this method when it is not possible to reach the derivation of the bile duct by means of a classical papillotomy, or for opening a stenotic papilla. They made a total of 68 operations, 89.7% of which were successful in the first place, the total success rate being 98.53%. No serious complications were recorded. The authors recommend the method provided its is used by an experienced endoscopist.
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