Prevention of Postendoscopic Retrograde Cholangiopancreatography Pancreatitis: The Endoscopic Technique

Song, Byeong Jun; Kang, Dae Hwan

doi:10.5946/ce.2014.47.3.217

Cited by 5 publications

(3 citation statements)

References 48 publications

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“…En estos casos se recomienda el uso de técnicas avanzadas de canulación como la técnica de canulación con doble guía, canulación con ayuda de prótesis pancreática, canulación mediante esfinterotomía transpancreática y canulación con corte para acceso ampular. Los estudios sobre estas técnicas son escasos y con heterogeneidad importante además reportan porcentajes de éxito y complicaciones variables [43][44][45][46]47,48 .…”

Section: Técnicas Avanzadas De Canulación El Uso De Técnicas Avanzada...unclassified

Consenso de indicadores de calidad en la atención en colangiopancreatografía retrógrada endoscópica

Blanco-Vela¹,

Peláez-Luna²,

Martínez-García³

et al. 2022

END

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Section: Técnicas Avanzadas De Canulación El Uso De Técnicas Avanzada...unclassified

Consenso de indicadores de calidad en la atención en colangiopancreatografía retrógrada endoscópica

Blanco-Vela¹,

Peláez-Luna²,

Martínez-García³

et al. 2022

END

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“…However, prolonged and repeated cannulation procedures prior to precut with inexperienced hands may increase the risk of PEP. Among various techniques, precut fistulotomy reduced the risk of PEP compared with the conventional precut method, and precut following placement of prophylactic PS also reduced the rate of PEP [ 50 - 53 , 61 ]. However, still more comparative studies with transpancreatic septotomy, taking into account the type of devices and criteria such as difficult cannulation, will be needed to clarify the question of complications.…”

Section: Precut Sphincterotomymentioning

confidence: 99%

Optimal Use of Wire-Assisted Techniques and Precut Sphincterotomy

Lee

Park

2016

Clin Endosc

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Various endoscopic techniques have been developed to overcome the difficulties in biliary or pancreatic access during endoscopic retrograde cholangiopancreatography, according to the preference of the endoscopist or the aim of the procedures. In terms of endoscopic methods, guidewire-assisted cannulation is a commonly used and well-known initial cannulation technique, or an alternative in cases of difficult cannulation. In addition, precut sphincterotomy encompasses a range of available rescue techniques, including conventional precut, precut fistulotomy, transpancreatic septotomy, and precut after insertion of pancreatic stent or pancreatic duct guidewire-guided septal precut. We present a literature review of guidewire-assisted cannulation as a primary endoscopic method and the precut technique for the facilitation of selective biliary access.

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“…TPS involves the placement of a papillotome in the pancreatic duct and performing sphincterotomy in the direction of the bile duct, then extending the sphincterotomy to cannulate the biliary duct 1,8,9 . ERCP is an invasive procedure with an overall adverse events rate of approximately 4-11%, and the most common one is post-ERCP pancreatitis (PEP) [10][11][12] . Using advanced cannulation techniques in a native papilla is considered a risk factor of PEP, ESGE suggested prophylactic pancreatic stenting in patients receiving TPS to decrease this risk 1,[13][14][15] . Pancreatic duct stricture or chronic pancreatitis could be developed after pancreatic sphincterotomy; therefore, a long follow-up period is needed to track these adverse outcomes.…”

Section: Introductionmentioning

confidence: 99%

Prospective Evaluation of Transpancreatic Sphincterotomy Comparing to Needle-knife Precut in Difficult Biliary Cannulation: Short-and Long-term Outcomes

Tabak

2020

Preprint

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Background/Aims: Transpancreatic sphincterotomy (TPS) can be an alternative approach of biliary access in difficult cannulation cases. We aimed to prospectively evaluate the efficacy and safety of TPS compared to needle-knife precut (NKP), considering the late consequences of both techniques. Methods: A total of 122 enrolled patients have been divided into three groups based on the applied secondary cannulation techniques. Selective cannulation success, ERCP procedure findings, and immediate adverse events were compared between groups. We investigated the long-term outcomes during six-month after the procedure. Results: Successful selective cannulation was achieved in 92.9% with TPS similarly to other groups. The mean procedure time was shorter in the TPS group without significant difference. Using TPS did not affect the rate of post-ERCP pancreatitis (PEP) with less frequent post-ERCP bleeding and perforation after TPS compared to NKP, without significant difference. Patients who received TPS, NKP, or both had no symptoms related to papillary stenosis or chronic pancreatitis during the follow-up period. Conclusions: Using TPS was useful to achieve success cannulation in difficult cases with an acceptable PEP rate. Furthermore, it was associated with reducing bleeding and perforation rates comparing with NKP and no differences related to the long term consequences within the follow-up period.

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Prevention of Postendoscopic Retrograde Cholangiopancreatography Pancreatitis: The Endoscopic Technique

Cited by 5 publications

References 48 publications

Consenso de indicadores de calidad en la atención en colangiopancreatografía retrógrada endoscópica

Consenso de indicadores de calidad en la atención en colangiopancreatografía retrógrada endoscópica

Optimal Use of Wire-Assisted Techniques and Precut Sphincterotomy

Prospective Evaluation of Transpancreatic Sphincterotomy Comparing to Needle-knife Precut in Difficult Biliary Cannulation: Short-and Long-term Outcomes

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