Does precut technique improve selective bile duct cannulation or increase post-ERCP pancreatitis rate? A meta-analysis of randomized controlled trials

Gong, Bo; Liang, Hao; Bie, Like; Sun, Bo; Wang, Mei

doi:10.1007/s00464-010-1033-y

Cited by 62 publications

(41 citation statements)

References 23 publications

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“…It has been suggested, that precut sphincterotomy should be used early enough in a difficult cannulation to avoid numerous cannulation attempts and unnecessary injury to the papilla or to the pancreatic duct. Early use of precut sphincterotomy may reduce the risk of pancreatitis (24,25). The second cannulation attempt a few days after precut is usually easier (13,19,20).…”

Section: Discussionmentioning

confidence: 99%

ERCP Procedures in a Finnish Community Hospital: A Retrospective Analysis of 1207 Cases

et al. 2012

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Results: Cannulation of the desired duct was successful in 89.2% of 825 ERCPs with no earlier sphincterotomy. Complete stone removal was achieved in 91.3% of procedures. standard biliary sphincterotomy was performed in 73.8% and precut sphincterotomy in 12.0 % of cases. Cholangitis developed in 2.1%, bleeding in 1.9%, pancreatitis in 1.9%, perforation in 1.0% and cardio-pulmonary or miscellaneous complications in 4.2% of cases. the majority of complications could be managed conservatively. in procedures with no earlier sphincterotomy ERCP-related 30-day mortality was 0.2% (n = 2) and overall 30-day mortality was 3.3% (n = 27).Conclusions: ERCP indications and success rates, as well as morbidity and mortality were comparable to those reported earlier. although the success rate of cannulation and thereby ERCP procedures seem to be somewhat lower than in tertiary referral centres, ERCP procedures can be safely performed in a low-volume ERCP unit by concentrating procedures on a few experienced endoscopists. the success rates may be further improved with the latest cannulation techniques, used selectively in the last years of the study period.

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Section: Discussionmentioning

confidence: 99%

ERCP Procedures in a Finnish Community Hospital: A Retrospective Analysis of 1207 Cases

et al. 2012

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“…5,7 There are studies suggesting that early institution of the precut is a safe and effective strategy even though conflicting results concerning post-ERCP adverse events have been reported when compared with conventional techniques. 8 However, these studies have seldomly addressed the impact of the precut timing in the global ERCP duration.…”

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confidence: 99%

Early precut fistulotomy for biliary access: time to change the paradigm of “the later, the better”?

Lopes

Dinis-Ribeiro

Rolanda

2014

Gastrointestinal Endoscopy

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“…51,[86][87][88][89][90][91] Meta-analyses support early precut when compared to ongoing cannulation attempts. [92][93][94] Definition of "early" and the precut technique are other variables. Lee et al 95 reported results using a sequential approach that involved "early" precut.…”

Section: Procedures Techniquesmentioning

confidence: 99%

Endoscopic retrograde cholangiopancreatography complications: Techniques to reduce risk and management strategies

Tarnasky

Kedia

2017

Int J Gastrointest Interv

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Adverse events after endoscopic retrograde cholangiopancreatography (ERCP) are not uncommon and can be associated with tragic outcomes. Bleeding, perforation, and post-ERCP pancreatitis are the most common complications. Some events are unavoidable; others are associated with well described risk factors so that they can be either anticipated and/or measures can be taken for prevention or at least risk reduction. This review will focus on the more common complications after ERCP, their risk factors, and potential strategies for risk reduction. Additionally, recommendations for management of ERCP complications will be presented.

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Does precut technique improve selective bile duct cannulation or increase post-ERCP pancreatitis rate? A meta-analysis of randomized controlled trials

Cited by 62 publications

References 23 publications

ERCP Procedures in a Finnish Community Hospital: A Retrospective Analysis of 1207 Cases

ERCP Procedures in a Finnish Community Hospital: A Retrospective Analysis of 1207 Cases

Early precut fistulotomy for biliary access: time to change the paradigm of “the later, the better”?

Endoscopic retrograde cholangiopancreatography complications: Techniques to reduce risk and management strategies

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