Choledochocolonic fistula secondary to primary choledocholithiasis

Güitrón-Cantú, Alfredo; Adalid-Martínez, Raúl; Barinagarrementeria-Aldatz, Ricardo; Carrillo-Maciel, V.; Gutiérrez-Bermúdez, José A.; Meza-Mata, Elizabeth

doi:10.1067/mge.2001.116897

Cited by 8 publications

(3 citation statements)

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“…Immediate bleeding with the need for endoscopic intervention at the index ERCP seems to have a trend in favor of Endocut. This result corroborates the above mentioned meta-analyses [7,8,29]. Notably, however, the reported intraprocedural bleeding had no clinical repercussions, and all cases were controlled in the same procedure.…”

Section: Accepted Manuscriptsupporting

confidence: 89%

“…Endoscopic biliary sphincterotomy is a crucial step in endoscopic retrograde cholangiopancreatography (ERCP), a procedure known to carry a 5-10% risk of complications, including post-ERCP pancreatitis (PEP), bleeding, cholangitis, perforation, sepsis, and even death [1,2,3,4,5]. Two commonly used current modes in sphincterotomy are pure cut and Endocut (or pulsed cut) [6,7,8].…”

Section: Introductionmentioning

confidence: 99%

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Pure cut vs. Endocut in endoscopic biliary sphincterotomy: A systematic review and meta-analysis of Randomized Clinical Trials.

Bicudo de Oliveira,

Funari,

So Taa Kum

et al. 2024

Endosc Int Open

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Introduction: Biliary sphincterotomy is a crucial step in endoscopic retrograde cholangiopancreatography (ERCP), a procedure known to carry a 5-10% risk of complications. The relationship between Pure cut, Endocut, post-ERCP pancreatitis (PEP) and bleeding is unclear. This systematic review and meta-analysis compares these two current types and their relationships with adverse events. Methods: This systematic review involved searching articles in multiple databases until August 2023 comparing pure cut versus Endocut in biliary sphincterotomy. The meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Results: A total of 987 patients from four randomized controlled trials were included. Overall pancreatitis: a higher risk of pancreatitis was found in the Endocut group than in the pure cut group (P=0.001, RD=0,04 [0.01,0.06]; I2=29%). Overall immediate bleeding: statistical significance was found to favour Endocut, (P=0.05; RD=-0.15 [-0.29, -0.00]; I2=93%). No statistical significance between current modes was found in immediate bleeding without endoscopic intervention (P=0.10; RD=-0.13 [-0.29, 0.02]; I2=88%), immediate bleeding with endoscopic intervention (P=0.06; RD=-0.07 [-0.14,0,00]; I2=76%), delayed bleeding (P=0.40; RD=0.01 [-0.02,0.05]; I2=72%), zipper cut (P=0.58; RD= -0.03 [-0.16,0.09]; I2= 97%), perforation (P= 1.00; RD= 0.00 [-0.01,0.01]; I2= 0%) and cholangitis (P= 0.77; RD= 0.00 [-0.01,0.02]; I2= 29%). Conclusion: The available data in the literature shows that Endocut carries an increased risk for PEP and does not prevent delayed or clinically significant bleeding, although it prevents intraprocedural bleeding. Based on such findings, pure cut should be the preferred electric current mode for biliary sphincterotomy.

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Section: Accepted Manuscriptsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Pure cut vs. Endocut in endoscopic biliary sphincterotomy: A systematic review and meta-analysis of Randomized Clinical Trials.

Bicudo de Oliveira,

Funari,

So Taa Kum

et al. 2024

Endosc Int Open

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“…4 However, ERCP through an intradiverticular papilla, especially one with an invisible orifice, remains difficult, and success rates are lower with an invisible orifice. 5 Several techniques have been introduced to evert the papillary opening to facilitate cannulation. 1,[6][7][8][9][10][11][12][13][14][15] Submucosal injection, 6 endoscopic clipping, 9 and two-devices-in-one-channel, 10 have been introduced.…”

Section: Introductionmentioning

confidence: 99%

Papillary Cannulation Facilitated by Submucosal Saline Injection Into the Intradiverticular Papilla

2019

ESGE Days 2019

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Endoscopic retrograde cholangiopancreatography (ERCP) of the intradiverticular papilla with its invisible orifice remains challenging. Several techniques have been introduced to evert the papillary opening to facilitate cannulation. A 79-year-old woman with bile duct stones underwent ERCP, which revealed that the papilla was located inside a large diverticulum and tended to rotate inward with a trial of papillary cannulation. Submucosal papillary injection of 3 cc of normal saline was performed at 3 and 9 o' clock. Eversion and fixation of a papilla in the diverticulum with this technique allowed selective cannulation of the biliary tree. Stones were retrieved after endoscopic papillary balloon dilation without complications. She had an uneventful post-procedural course. Our findings suggest that submucosal saline injection technique is safe and effective for selective cannulation and can be recommended when cannulation is very difficult because of an intradiverticular papilla.

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Agenesis of gallbladder with choledochocolonic fistula in an 89-year-old woman with acute abdomen: A rare case

et al. 2013

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Choledochocolonic fistula secondary to primary choledocholithiasis

Cited by 8 publications

References 0 publications

Pure cut vs. Endocut in endoscopic biliary sphincterotomy: A systematic review and meta-analysis of Randomized Clinical Trials.

Pure cut vs. Endocut in endoscopic biliary sphincterotomy: A systematic review and meta-analysis of Randomized Clinical Trials.

Papillary Cannulation Facilitated by Submucosal Saline Injection Into the Intradiverticular Papilla

Agenesis of gallbladder with choledochocolonic fistula in an 89-year-old woman with acute abdomen: A rare case

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