Double Guide Wire Placement for Endoscopic Pancreaticobiliary Procedures

Gyökeres, T; Duhl, J. S.; Varsányi, M; Schwab, Richárd; Burai, M; Pap, Ákos

doi:10.1055/s-2003-36403

Cited by 53 publications

(46 citation statements)

References 5 publications

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“…The current series of 50 patients treated with the doubleguidewire technique is one of the largest presented to date in the literature [2][3][4][5][6][7][8]. The original reports describing the method were case reports by Dumonceau et al [2] and Gotoh et al [3] based on 1 patient only.…”

Section: Discussionmentioning

confidence: 99%

“…Since its first description [2], the adoption of this technique has improved the success rate of biliary cannulation for cases in which the guidewire passes repeatedly into the pancreatic duct. The literature contains some case reports [2, 3], some case series [4][5][6], and two prospective randomized trials [7,8] on the role of the double-guidewire technique in difficult biliary cannulation.Double-guidewire-assisted biliary cannulation was a highlight of the 15th United European Gastroenterology Week in Paris, France, in 2007. After that meeting, we…”

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Double-guidewire-assisted biliary cannulation: experiences from a single tertiary referral center

et al. 2010

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Double-guidewire-assisted biliary cannulation: experiences from a single tertiary referral center

et al. 2010

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“…11,29,31 In situations where biliary cannulation is difficult and repeated pancreatic cannulation occurs, some experts advocate a double guidewire technique (DGWT) to increase success. [39][40][41][42] There are, however, reports of increased PEP with DGWT 43,44 and the risk is considerably higher (20%-30%) when pancreatic stents are not placed for prophylaxis (see below). A Japanese multicenter study reported that the risk of PEP (11%-32%) with the DGWT was directly correlated with the number of inadvertent pancreatic duct guidewire cannulations (GWCs).…”

Section: Procedures Factorsmentioning

confidence: 99%

Endoscopic retrograde cholangiopancreatography complications: Techniques to reduce risk and management strategies

Tarnasky

Kedia

2017

Int J Gastrointest Interv

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Adverse events after endoscopic retrograde cholangiopancreatography (ERCP) are not uncommon and can be associated with tragic outcomes. Bleeding, perforation, and post-ERCP pancreatitis are the most common complications. Some events are unavoidable; others are associated with well described risk factors so that they can be either anticipated and/or measures can be taken for prevention or at least risk reduction. This review will focus on the more common complications after ERCP, their risk factors, and potential strategies for risk reduction. Additionally, recommendations for management of ERCP complications will be presented.

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“…Saját gyakorlatunkban ötvöztük a két módszert, a betegek mintegy 70%-át papillotommal sikeresen és alacsony PEP-arány-nyal kanüláltuk, és öt sikertelen kísérlet után alkalmaztunk vezetődrótot [8,18]. A kettős vezetődróttal való kanülálás [29] helyett az előmetszés előnyösebbnek tű-nik [6,30].…”

Section: Vezetődróttal Végzett Intubálásunclassified

Az endoszkópos retrográd cholangiopancreatographiát követő heveny hasnyálmirigy-gyulladás megelőzése

et al. 2015

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Állomány-egészségtani és Állatorvosi Etológia Tanszék, BudapestMagyarországon az évente elvégzett több mint 14 000 endoszkópos retrográd cholangiopancreatographia következ-tében hozzávetőlegesen 1400 pancreatitis kialakulásával, ezen belül 10 beteg halálával kell számolni. A szerzők átte-kintik az endoszkópos retrográd cholangiopancreatographiát követő heveny hasnyálmirigy-gyulladás megelőzésére vonatkozó szakirodalmat, ismertetik saját tapasztalataikat. Utalnak a diagnosztikus endoszkópos retrográd cholangiopancreatographia háttérbe szorulására. Hangsúlyozzák a beavatkozás javallatának gondos mérlegelését, a kockázati tényezők elemzését. Fontosnak tartják a kanülálások számának csökkentését, a korai előmetszést, a nagy kockázatú betegekben a pancreasstent beültetését, az indometacin vagy a diclofenac alkalmazását és a megfelelő intravénás folyadékbevitelt. Orv. Hetil., 2015, 156(18), 715-719. Kulcsszavak: endoszkópos retrográd cholangiopancreatographia, szövődmények, post-ERCP-s pancreatitis, megelőzés Prevention of pancreatitis following endoscopic retrograde cholangiopancreatographyOver 14 000 endoscopic retrograde cholangiopancreatographies are performed in Hungary annually, and approximately 1400 patients are calculated to develop pancreatititis including 10 cases with lethal outcome. This article is aimed to review recent relevant literature and to present a practical guide based on the authors' own experience for the prevention of pancreatitis following endoscopic retrograde cholangiopancreatography. The authors emphasize the importance of careful consideration of indications, analysis of risk factors, avoiding unnecessary diagnostic intervention, a decrease of the attempts for cannulation, early precut, implantation of pancreatic stent in high risk patients, administration of rectal indomethacin or diclofenac and adequate intravenous fl uid replacement. Keywords: endoscopic retrograde cholangiopancreatography, complications, Post-ERCP pancreatitis, preventionPatai, Á., Patai, Á. V., Solymosi, N., Tulassay, Z., Herszényi, L. [Prevention of pancreatitis following endoscopic retrograde cholangiopancreatography]. Orv. Hetil., 2015, 156(18), 715-719.

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Double Guide Wire Placement for Endoscopic Pancreaticobiliary Procedures

Cited by 53 publications

References 5 publications

Double-guidewire-assisted biliary cannulation: experiences from a single tertiary referral center

Double-guidewire-assisted biliary cannulation: experiences from a single tertiary referral center

Endoscopic retrograde cholangiopancreatography complications: Techniques to reduce risk and management strategies

Az endoszkópos retrográd cholangiopancreatographiát követő heveny hasnyálmirigy-gyulladás megelőzése

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