Papillotome for percutaneous endoscopic gastrostomy, comprising: - a handle ; - an elongate flexible catheter attached to the handle , which catheter has a free end region with a free end and has at least one first lumen ; - a front opening , which is disposed in the free end region and connects the first lumen to an outside of the catheter ; - a rear opening , which is disposed in the free end region of the catheter , is further from the free end than the front opening , and connects the first lumen to the outside, the front opening and the rear opening being arranged with the same orientation relative to the catheter ; and - a cutting wire , which is disposed in an axially displaceable manner in the first lumen , extends through the front opening and the rear opening , is disposed between the front opening and the rear opening on the outside, and is fixed in the free end region and in the handle , wherein, when the handle is actuated, the cutting wire is tensioned, the free end region is deformed in an arc shape, and the cutting wire forms a transversely extending cutting edge between the front opening and the rear opening , the front opening being disposed at a distance of at least 3 mm from the free end and a projection being formed between the free end and the front opening , characterised in that a cutting tip is provided at the free end of the catheter , which cutting tip is connected to the cutting wire and forms the foremost end of the papillotome, and in that the cutting wire is additionally disposed between the free end and the front opening on the outside, forms there the cutting tip and the longitudinally extending cutting edge , and is arranged there with the same orientation relative to the catheter as the front opening and the rear opening , a) the cutting tip being connected to a metal piece , which is disposed at least over a part of the region between the free end and the front opening on the outside, being connected to the cutting wire , and forming a longitudinally extending cutting edge , which is arranged with the same orientation relative to the catheter as the front opening and the rear opening , and/or b) a third opening being provided and being disposed between the front opening and the rear opening , and the cutting wire re-entering the first lumen through the third opening . - a handle ; - an elongate flexible catheter attached to the handle , which catheter has a free end region with a free end and has at least one first lumen ; - a front opening , which is disposed in the free end region and connects the first lumen to an outside of the catheter ; - a rear opening , which is disposed in the free end region of the catheter , is further from the free end than the front opening , and connects the first lumen to the outside, the front opening and the rear opening being arranged with the same orientation relative to the catheter ; and - a cutting wire , which is disposed in an axially displaceable manner in the first lumen , extends through the front opening and the rear opening , is disposed between the front opening and the rear opening on the outside, and is fixed in the free end region and in the handle , wherein, when the handle is actuated, the cutting wire is tensioned, the free end region is deformed in an arc shape, and the cutting wire forms a transversely extending cutting edge between the front opening and the rear opening , a) the cutting tip being connected to a metal piece , which is disposed at least over a part of the region between the free end and the front opening on the outside, being connected to the cutting wire , and forming a longitudinally extending cutting edge , which is arranged with the same orientation relative to the catheter as the front opening and the rear opening , and/or b) a third opening being provided and being disposed between the front opening and the rear opening , and the cutting wire re-entering the first lumen through the third opening . <EOS>