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Small common bile duct - the risk factor for post-ERCP pancreatitis in patients with choledocholithiasis.
Wiad Lek
January 2025
SALISBURY NHS FOUNDATION TRUST, SALISBURY, UNITED KINGDOM.
Objective: Aim: To investigate the risk factors for PEP in patients with choledocholithiasis.
Patients And Methods: Materials and Methods: We have retrospectively analyzed 253 cases with choledocholithiasis that underwent ERCP. The primary endpoint was the occurrence of PEP.
Randomized comparison of precut papillotomy and endosonography guided rendezvous procedure for difficult biliary access in Malignant distal biliary obstruction.
Endoscopy
January 2025
Institute of Gastrosciences, Sir HN Reliance Foundation Hospital and Research Centre, Mumbai, India.
Background And Aims: Difficult biliary cannulation (DBC) is a marker for prolonged procedure time and increased adverse event rate (AER) during endoscopic retrograde cholangiopancreatography (ERCP). We previously showed that EUS-guided rendezvous procedure (EUS-RV) had a higher single session success rate than precut papillotomy (PcP) in DBC patients. The present randomized study aims at comparing the technical success and AER between the two approaches.
View Article and Find Full Text PDFManagement of ERCP-Related Perforations: A Single-Center Experience.
J Clin Med
December 2024
Digestive Endoscopy Department, University Clinic "Dr Dragisa Misovic-Dedinje", 11000 Belgrade, Serbia.
Perforations represent rare but serious complications in ERCP. Although several therapeutic algorithms have been proposed to properly address these potentially life-threatening events, there is still no clear consensus on their management. We conducted a single-center retrospective study in order to assess the incidence of ERCP-related perforations and their management, as well as clinical outcomes.
View Article and Find Full Text PDFPancreatic stent improves the success rate of needle-knife papillotomy in patients with difficult biliary cannulation.
World J Gastroenterol
January 2025
Department of Gastroenterology and Hepatology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan 33305, Taiwan.
Background: Needle-knife precut papillotomy (NKP) is typically performed freehand. However, it remains unclear whether pancreatic stent (PS) placement can improve the outcomes of NKP.
Aim: To explore whether PS placement improves the success rate of NKP in patients with difficult biliary cannulation.
Difficult cannulation during endoscopic retrograde cholangiopancreatography-needle-knife precut versus transpancreatic sphincterotomy on the basis of successful cannulation and adverse events.
Surg Endosc
December 2024
Department of Research and Development and Department of Surgery, Central Hospital, Region Kronoberg, Strandvägen 8, 351 85, Växjö, Sweden.
Article Synopsis
- This study compared two alternative techniques, transpancreatic sphincterotomy (TPS) and precut sphincterotomy (PCS), for accessing the biliary tree during difficult ERCP procedures.
- TPS showed higher successful cannulation rates (86.5%) compared to PCS (69.7%), but both were lower than the standard sphincterotomy control group (92.4%).
- Despite higher cannulation success, TPS was associated with more adverse events (24.1%) compared to PCS (18.8%) and the control group (15.5%), with increased rates of pancreatitis and perforation in the TPS group.
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