Atlas of Gastroenterological Endoscopy
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Situation after EPT
great EPT great EPT - after healing
Left: Extensive papillotomy 2 days after the intervention for massive choledocholithiasis. The biliary tree was filled with stones up peripheral ductular branches (see also stone extraction). The edge of the papilla still shows an inflammatory edema. In the upper part of the photo the yawning biliary duct is seen. Right: 4 weeks later the inflammation has vanished. The wide biliary orifice persists. Such a wide papillotomy was only justified by the massive stone accumulation in the bile duct.