Predictive factors of difficult biliary cannulation: An experience of a tunisian tertiary center

Abdallah, Khalaf Ben; Hamzaoui, L.; Mahmoudi, M.; Cherif, Ines; Mohamed, A. Ben; Yakoubi, M.; Khsiba, A.; Medhioub, M.; Azouz, M.M.

doi:10.1016/j.heliyon.2022.e12526

Cited by 2 publications

(2 citation statements)

References 35 publications

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“…According to the findings of previous studies, between 5% and 15% of patients who required ERCP had bile duct cannulation failure [3]. Patients with prior surgery leading to altered anatomy and those who present with duodenal papillary variations or abnormalities such as stenosis, small size, or those located within or at the border of the diverticulum are more likely to have unsuccessful biliary cannulation [4].…”

Section: Introductionmentioning

confidence: 99%

“…In case of ERCP failure on the first attempt, alternative choices include redoing the procedure (on the second attempt after 24 h) or moving on to more proficient endoscopic methods such as endoscopic ultrasound (EUS) or radiology-aided techniques (rendezvous procedures), totally percutaneous approaches, or surgical treatments [4,5]. However, the intrusive nature of these technology solutions, the dearth of interventional radiologists, and the greater morbidity and mortality rates are two of the downsides of these solutions [6].…”

Section: Introductionmentioning

confidence: 99%

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Analysis of the Effectiveness of Second Attempt Endoscopic Retrograde Cholangiopancreatography (ERCP) 24 Hours (Second Day) After Primary Failure

Khan,

Ullah,

Kashif

2024

Cureus

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Background: Endoscopic retrograde cholangiopancreatography (ERCP) is a minimally invasive intervention that has established itself as the gold standard therapeutic option for various pancreaticobiliary conditions. Deep cannulation of the common bile duct (CBD) is essential in ERCP. However, cannulation is not possible in approximately 20% of the cases with the usual techniques even when performed by highly trained professionals or at major healthcare institutions. In case of failure on the first attempt, alternative choices include redoing the procedure (on the second attempt) or moving on to more proficient endoscopic methods such as endoscopic ultrasound (EUS) or radiology-aided techniques (rendezvous procedures), totally percutaneous approaches, or surgical treatments.Objective: To analyze the effectiveness of the second attempt ERCP 24 hours (second day) after primary failure.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Analysis of the Effectiveness of Second Attempt Endoscopic Retrograde Cholangiopancreatography (ERCP) 24 Hours (Second Day) After Primary Failure

Khan,

Ullah,

Kashif

2024

Cureus

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Outcomes of endoscopic retrograde cholangiopancreatography performed in the AM versus PM: does procedural timing matter?

Sabrie,

Gimpaya,

Khalaf

et al. 2024

Journal of the Canadian Association of Gastroenterology

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Background ERCP is a technically demanding procedure that carries a high cumulative adverse event (AE) rate of >10%. Identifying risk factors for adverse events is paramount. Procedure timing, as a surrogate for endoscopist fatigue, has been shown to influence key quality metrics in colonoscopy, but data on this relationship in ERCP is sparse. Methods We conducted a retrospective cohort study of ERCP procedures performed by 5 experienced staff endoscopists, with or without advanced endoscopy fellow (AEF) involvement, from January 1, 2010 to December 1, 2020 at St Michael’s Hospital, Toronto, Ontario, a regional referral center for therapeutic endoscopy. The primary outcome was the difference in rate of selective deep, duct canulation between AM and PM procedures. Results A total of 5672 ERCP procedures were eligible for inclusion. 2793 (49.2%) procedures were performed in the AM and 2879 procedures (50.8%) were performed in the PM. We found no significant difference in the rate of selective ductal cannulation between AM and PM procedures in the unadjusted (82.8% AM vs. 83.1% P-value = .79) or adjusted (OR = 0.98, 95% CI, 0.85-1.12, P-value = .72) analyses. We found no significant difference in the mean procedural duration or rate of perforation between AM and PM procedures. The rate of immediate bleeding was slightly higher in the AM cohort. Conclusion In our single-center retrospective study, ERCP quality, including selective cannulation rates and immediate adverse events were not significantly different in procedures performed in the morning compared to those performed in the afternoon.

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Predictive factors of difficult biliary cannulation: An experience of a tunisian tertiary center

Cited by 2 publications

References 35 publications

Analysis of the Effectiveness of Second Attempt Endoscopic Retrograde Cholangiopancreatography (ERCP) 24 Hours (Second Day) After Primary Failure

Analysis of the Effectiveness of Second Attempt Endoscopic Retrograde Cholangiopancreatography (ERCP) 24 Hours (Second Day) After Primary Failure

Outcomes of endoscopic retrograde cholangiopancreatography performed in the AM versus PM: does procedural timing matter?

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