Document Detail


Oral administration of edible oil before ERCP: effect on selective biliary cannulation.
MedLine Citation:
PMID:  23261094     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: A fatty meal before ERCP relaxes the sphincter of Oddi and may facilitate biliary cannulation.
OBJECTIVE: To assess the effect of an oral fatty meal before ERCP on time to and success rate of biliary cannulation.
DESIGN: Human clinical study.
SETTING: Tertiary ERCP center.
PATIENTS: Adult patients with intact papilla undergoing ERCP for presumed biliary pathology.
INTERVENTIONS: Patients arriving more than 1 hour before the procedure were given oil by mouth. Patients not receiving oil served as controls. The need for a precut sphincterotomy was considered a failure of initial cannulation.
MAIN OUTCOME MEASUREMENTS: Appearance of the papillary orifice, bile flow, cannulation success rate, cannulation and fluoroscopy times.
RESULTS: A total of 86 patients received oil (mean age 52.8 years; 40% male), and 103 patients served as controls (mean age 53.3 years; 49% male). The papillary orifice was open in 52 of 86 (61%) and 38 of 103 (37%) patients in the oil and control groups, respectively (P = .002). Bile flow was seen in 59 of 86 (68%) and 50 of 103 (49%) patients, respectively (P = .009). The overall initial biliary cannulation success rate was 80 of 86 (93%) and 97 of 103 (94%), respectively (P = .77). There was no difference in cannulation success rates, cannulation, and fluoroscopy times for fellows or faculty endoscopists in each group. No pulmonary aspiration was seen in either group.
LIMITATIONS: Unblinded study.
CONCLUSIONS: The biliary orifice appeared more open and bile flow was seen in more patients receiving oil, but there was no difference in successful biliary cannulation rates and cannulation and fluoroscopy times in the 2 groups.
Authors:
Mihir S Wagh; Ahmed Mukhtar; Damien Tan; James L Watkins; Evan L Fogel; Lee McHenry; Gregory A Coté; Stuart Sherman; Suzette E Schmidt; Glen A Lehman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Gastrointestinal endoscopy     Volume:  77     ISSN:  1097-6779     ISO Abbreviation:  Gastrointest. Endosc.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0010505     Medline TA:  Gastrointest Endosc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  55-61     Citation Subset:  IM    
Copyright Information:
Copyright © 2013 American Society for Gastrointestinal Endoscopy. Published by Mosby, Inc. All rights reserved.
Affiliation:
Division of Gastroenterology, University of Florida, Gainesville, Florida, USA.
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