Outcomes of minor versus major papilla rendez-vous for EUS-guided pancreatic duct drainage

Reply to Bronswijk et al

“…We also read with interest the authors' usage of minor transpapillary rendezvous with a non-significant increase in clinical success rates and comparable AE rate to major papilla rendezvous [1]. In our series, this was only performed on one patient (0.9%), but we agree that any transpapillary access (be it minor or major) into the duodenum would be preferable to avoid the risks of transgastric stenting.…”

“…

We thank Dr. Bronswijk et al for their very astute and thoughtful comments. We read with great interest their technique to facilitate transpapillary wiring, using a 6F cystotome to enter the pancreatic duct (PD), and subsequently assist in manipulating the direction of the wire [1]. Certainly, this would be of value, as although a wire was able to be placed in the PD in 94 patients in our series (85%), only 57 of those patients were able to have the wire manipulated across the papilla.

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