Needle‐knife fistulotomy in patients with periampullary diverticula and difficult bile duct cannulation

Park, Chung Su; Park, Chang Hwan; Koh, Han Ra; Jun, Chung Hwan; Ki, Ho Seok; Park, Seon-Young; Kim, Hyun Soo; Choi, Sung Kyu; Rew, Jong Sun

doi:10.1111/j.1440-1746.2012.07201.x

Cited by 29 publications

(18 citation statements)

References 18 publications

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“…One hundred twenty‐four articles were judged not suitable for pooled analysis based on their abstracts. After vetting was complete, 69 articles were reviewed.…”

Section: Precut Sphincterotomy: Overview Of Clinical Results Since 2004mentioning

confidence: 99%

Transpapillary selective bile duct cannulation technique: Review of Japanese randomized controlled trials since 2010 and an overview of clinical results in precut sphincterotomy since 2004

Kawakami

Kubota

Kawahata

et al. 2016

Digestive Endoscopy

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In 1970, a Japanese group reported the first use of endoscopic retrograde cholangiopancreatography (ERCP), which is now carried out worldwide. Selective bile duct cannulation is a mandatory technique for diagnostic and therapeutic ERCP. Development of the endoscope and other devices has contributed to the extended use of ERCP, which has become a basic procedure to diagnose and treat pancreaticobiliary diseases. Various techniques related to selective bile duct cannulation have been widely applied. Although the classical contrast medium injection cannulation technique remains valuable, use of wire-guided cannulation has expanded since the early 2000s, and the technique is now widely carried out in the USA and Europe. Endoscopists must pay particular attention to a patient's condition and make an attendant choice about the most effective technique for selective bile duct cannulation. Some techniques have the potential to shorten procedure time and reduce the incidence of adverse events, particularly post-ERCP pancreatitis. However, a great deal of experience is required and endoscopists must be skilled in a variety of techniques. Although the development of the transpapillary biliary cannulation approach is remarkable, it is important to note that, to date, there have been no reports of transpapillary cannulation preventing post-ERCP pancreatitis. In the present article, selective bile duct cannulation techniques in the context of recent Japanese randomized controlled trials and cases of precut sphincterotomy are reviewed and discussed.

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“…One hundred twenty‐four articles were judged not suitable for pooled analysis based on their abstracts. After vetting was complete, 69 articles were reviewed.…”

Section: Precut Sphincterotomy: Overview Of Clinical Results Since 2004mentioning

confidence: 99%

Transpapillary selective bile duct cannulation technique: Review of Japanese randomized controlled trials since 2010 and an overview of clinical results in precut sphincterotomy since 2004

Kawakami

Kubota

Kawahata

et al. 2016

Digestive Endoscopy

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“…The eventual success rate of our strategy was superior to the others, which applied the same precut technique or standard cannulation technique in the second attempt. 16 – 19 …”

Section: Discussionmentioning

confidence: 99%

Different Strategies for Transpancreatic Septotomy and Needle Knife Infundibulotomy Due to the Presence of Unintended Pancreatic Cannulation in Difficult Biliary Cannulation

et al. 2015

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Background/AimsSeveral precut techniques have been used to gain biliary access for difficult cases. The aim of this study was to evaluate the success and complication rates of two precut techniques, transpancreatic septotomy (TPS) and needle knife infundibulotomy (NKI), in difficult biliary cannulation due to the presence of unintended pancreatic cannulation.MethodsEighty-six patients who failed standard biliary cannulation were included. TPS was performed when we failed to achieve biliary access despite 5 minutes of attempted cannulation or when more than three attempted unintended pancreatic cannulations occurred. If deep cannulation was not achieved within 5 minutes for any duct, NKI was performed. If this failed, we crossed over to the other technique in the second attempt.ResultsThe initial total success rate of biliary cannulation was 88.4% (86.6% for the TPS group and 94.7% for the NKI group, p=0.447). After crossover of the techniques, the final success rate was 95.3%. The complication rate was 20.9% in patients with TPS and 15.8% in patients with NKI (p=0.753).ConclusionsThe use of different strategies based on the presence of unintended pancreatic cannulation may help increase the success rate for difficult biliary cannulation without increasing complication rates.

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“…Precut sphincterotomy has been performed safely and effectively in periampullary diverticulum, but precut techniques should be approached cautiously because of the thinner wall and risk of perforation. 79 A side-saddle diverticulum, in which the papillary runs down the center of the diverticulum, is particularly amenable to a safe precut attempt.…”

Section: Intradiverticular Papillamentioning

confidence: 99%

Difficult Biliary Access

Mammen

Haber

2015

Gastrointestinal Endoscopy Clinics of North America

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Needle‐knife fistulotomy in patients with periampullary diverticula and difficult bile duct cannulation

Abstract: Needle-knife fistulotomy can be performed effectively and safely in patients with periampullary diverticula and difficult bile duct cannulation.

Cited by 29 publications

References 18 publications

Transpapillary selective bile duct cannulation technique: Review of Japanese randomized controlled trials since 2010 and an overview of clinical results in precut sphincterotomy since 2004

Transpapillary selective bile duct cannulation technique: Review of Japanese randomized controlled trials since 2010 and an overview of clinical results in precut sphincterotomy since 2004

Different Strategies for Transpancreatic Septotomy and Needle Knife Infundibulotomy Due to the Presence of Unintended Pancreatic Cannulation in Difficult Biliary Cannulation

Difficult Biliary Access

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