| Pancreatic duct guidewire placement for biliary cannulation in a single-session therapeutic ERCP. | |
| | |
MedLine Citation:
|
PMID: 21528077 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
AIM: To investigate the technical success and clinical complication rate of a cannulated pancreatic duct with guidewire for biliary access. METHODS: During a five-year study period, a total of 2843 patients were included in this retrospective analysis. Initial biliary cannulation method consisted of single-guidewire technique (SGT) for up to 5 attempts, followed by double-guidewire technique (DGT) when repeated unintentional pancreatic duct cannulation had taken place. Pre-cut papillotomy technique was reserved for when DGT had failed or no pancreatic duct cannulation had been previously achieved. Main outcome measurements were defined as biliary cannulation success and post-endoscopic retrograde cholangiopancreatography (ERCP) complication rate. RESULTS: SGT (92.3% success rate) was characterized by statistically significant enhanced patient outcome compared to either the DGT (43.8%, P < 0.001), pre-cut failed DGT (73%, P < 0.001) or pre-cut as first step method (80.6%, P = 0.002). Pre-cut as first step method offered a statistically significantly more favorable outcome compared to the DGT (P < 0.001). The incidence of post-ERCP pancreatitis did not differ in a statistically significant manner between either method (SGT: 5.3%, DGT: 6.1%, Pre-cut failed DGT: 7.9%, Pre-cut as first step: 7.5%) or with patients' gender. CONCLUSION: Although DGT success rate proved not to be superior to SGT or pre-cut papillotomy, it is considered highly satisfactory in terms of safety in order to avoid the risk of a pre-cut when biliary therapy is necessary in difficult-to-cannulate cases. |
| | |
Authors:
|
Dimitrios Xinopoulos; Stefanos P Bassioukas; Dimitrios Kypreos; Dimitrios Korkolis; Andreas Scorilas; Konstantinos Mavridis; Dimitrios Dimitroulopoulos; Emmanouil Paraskevas |
Related Documents
:
|
12827477 - Early experience employing a linear hepatic parenchyma coagulation device. 20838127 - Treatment of major hepatic necrosis: lobectomy versus serial debridement. 2197207 - Advances in diagnosis and management of hydatid disease. 8935417 - Liver laceration in premature neonate: report of a case with successful surgical treatm... 7939377 - Serum cardio-specific troponin t after open heart surgery in patients with and without ... 4066937 - Pinning of the slipped upper femoral epiphysis--a trouble-free procedure? |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: World journal of gastroenterology : WJG Volume: 17 ISSN: 1007-9327 ISO Abbreviation: World J. Gastroenterol. Publication Date: 2011 Apr |
Date Detail:
|
Created Date: 2011-04-29 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100883448 Medline TA: World J Gastroenterol Country: China |
Other Details:
|
Languages: eng Pagination: 1989-95 Citation Subset: IM |
Affiliation:
|
Dimitrios Xinopoulos, Stefanos P Bassioukas, Dimitrios Kypreos, Dimitrios Dimitroulopoulos, Emmanouil Paraskevas, Gastroenterology Unit, Hellenic Anticancer Institute "Saint Savvas" Hospital of Athens, 171 Alexandras Avenue, GR 11522, Greece. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Viscosity of food boluses affects the axial force in the esophagus.
Next Document: Microscopic colitis as a missed cause of chronic diarrhea.