Endoscopic Retrograde Cholangiopancreatography after a Liquid Fatty Meal: Effect on Deep Common Bile Duct Cannulation Time

Abstract

To avoid prolonged cannulation and unnecessary radiation exposure, patients should have a liquid fatty meal before ERCP procedures.

Oral administration of edible oil before ERCP: effect on selective biliary cannulation

“…Improving cannulation rates may be difficult, but improving cannulation time and lower precut rates are reasonable goals. This was seen in the study by Barrie et al, 5 and a trend toward shorter cannulation time and fluoroscopy time was seen in our study.…”

“…The cannulation rates in our study were higher than those reported by Barrie et al, 5 and our cannulation and fluoroscopy times were much shorter. This may be a reflection of our high-volume ERCP center.…”

“…5 We therefore performed a larger study at our tertiary care ERCP center involving both trainees and experienced ERCP endoscopists to assess the effect of oral administration of edible oil (fat) before ERCP on deep biliary cannulation.…”

Impact of intraduodenal acetic acid infusion on pancreatic duct cannulation during endoscopic retrograde cholangiopancreatography: A double‐blind, randomized controlled trial

“…A number of studies investigating methods to improve difficult biliary cannulation have been reported, which included guidewire‐assisted cannulation, pancreatic guidewire placement, and intake liquid fatty meal before the procedure . We also reported transpancreatic sphincterotomy and needle‐knife sphincterotomy had similar success rate for bile duct cannulation .…”

Advances in endoscopic retrograde cholangiopancreatography cannulation

“…Therefore, we postulated that ingestion of a fatty meal would improve the cannulation rate during ERCP. A randomized doubleblind study in 84 patients exa mined the effect of a liquid fatty meal on deep CBD cannulation during ERCP [55] . In the study group, each patient had a liquid fatty meal orally about 1 h before the procedure.…”