Double guidewire technique<i>vs</i>transpancreatic precut sphincterotomy in difficult biliary cannulation

Yoo, Young Wook; Cha, Sang-Woo; Lee, Woong Cheul; Kim, Sae Hee; Kim, Anna; Cho, Young Deok

doi:10.3748/wjg.v19.i1.108

Cited by 66 publications

(73 citation statements)

References 18 publications

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“…Biliary cannulation rates and the time to cannulate were similar, but the overall incidence of PEP was significantly lower in the TPS group (11% vs 38%, P<.01). 61 TPS is a viable option, although not commonly used in North America. The success of this approach critically depends on the appropriate cutting current to minimize any coagulation effect and to avoid a deeper cut to prevent pancreatic parenchymal insult.…”

Section: Transpancreatic Septotomymentioning

confidence: 99%

Difficult Biliary Access

Mammen

Haber

2015

Gastrointestinal Endoscopy Clinics of North America

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Section: Transpancreatic Septotomymentioning

confidence: 99%

Difficult Biliary Access

Mammen

Haber

2015

Gastrointestinal Endoscopy Clinics of North America

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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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“…DGW technique was not superior when compared to pre-cut or cannulation techniques with a conventional guidewire, and the risk of acute pancreatitis was increased. [12][13][14] Few studies evaluated DGW in a standardized strategy of CBD cannulation. However, two recent studies showed that DGW was effective in addition to conventional cannulation techniques when included in a standardized protocol.…”

Section: Introductionmentioning

confidence: 99%

Double guidewire endoscopic technique, a major evolution in endoscopic retrograde cholangiopancreatography: Results of a retrospective study with historical controls comparing two therapeutic sequential strategies

Laquière

Désilets

Belle

et al. 2016

Digestive Endoscopy

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Double guidewire techniquevstranspancreatic precut sphincterotomy in difficult biliary cannulation

Abstract: When free bile duct cannulation was difficult and selective pancreatic duct cannulation was achieved, DGT and TPS facilitated biliary cannulation and showed similar success rates. However, post-procedure pancreatitis was significantly higher in the DGT group.

Cited by 66 publications

References 18 publications

Difficult Biliary Access

Difficult Biliary Access

Az endoszkópos retrográd cholangiopancreatographiát követő heveny hasnyálmirigy-gyulladás megelőzése

Double guidewire endoscopic technique, a major evolution in endoscopic retrograde cholangiopancreatography: Results of a retrospective study with historical controls comparing two therapeutic sequential strategies

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