Rendezvous Cannulation Technique Reduces Post-ERCP Pancreatitis: A Prospective Nationwide Study of 12,718 ERCP Procedures

Swahn, Fredrik; Nilsson, Magnus; Arnelo, Urban; Löhr, Matthias; Persson, Gunnar; Enochsson, Lars

doi:10.1038/ajg.2012.470

Cited by 55 publications

(52 citation statements)

References 33 publications

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“…However, postoperative asymptomatic hyperamylasemia presented in 1 case of group 1 and 2 cases in group 2 in our study, of which we thought was a result from balloon dilatation (12 mm) for retrieval of large stones, as similar findings was described in other reports [6, 10, 14]. The incidence of complications was of no significant difference between the two groups, suggesting that there is no increased risk associated with the modified technique.…”

Section: Discussionsupporting

confidence: 85%

A Modified Technique Reduced Operative Time of Laparoendoscopic Rendezvous Endoscopic Retrograde Cholangiopancreatography Combined with Laparoscopic Cholecystectomy for Concomitant Gallstone and Common Bile Ductal Stone

Liu

Qun-wei

Xiao

et al. 2014

Gastroenterology Research and Practice

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Laparoendoscopic rendezvous (LERV) endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystectomy (LC+ERCP/LERV) are considered an optimal approach for concomitant gallstones and common bile duct stones. The rendezvous technique is essential for the success of procedure. We applied two different LERV techniques, traditional technique and modified technique, in 60 consecutive cases from January 2011 to November 2012. 32 cases who underwent modified technique (group 1) from February 2012 to November 2012 were retrospectively compared to 28 cases (group 2) who underwent traditional technique from January 2011 to January 2012. There was no significant difference between two groups with respect to preoperative demographic features. Although the difference was not statistically significant, the procedure was successfully performed in 31 cases (96.9%) in group 1 and 24 cases (86.2%) in group 2. The mean operative time and time of endoscopic part were 82.6 ± 19.6 min and 26.5 ± 5.99 min in group 1 which were significantly shorter than those in group 2 (118.0 ± 23.1 min and 58.7 ± 13.3 min, resp.). There was no postoperative pancreatitis and mortality in both groups. The mean hospital stay, blood loss, incidence of complications, and residual stone were of no difference in both groups. This study proved that this modified technique can effectively reduce the operative time and time of endoscopic part of LC+ERCP/LERV compared with traditional technique.

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Section: Discussionsupporting

confidence: 85%

A Modified Technique Reduced Operative Time of Laparoendoscopic Rendezvous Endoscopic Retrograde Cholangiopancreatography Combined with Laparoscopic Cholecystectomy for Concomitant Gallstone and Common Bile Ductal Stone

Liu

Qun-wei

Xiao

et al. 2014

Gastroenterology Research and Practice

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“…23 www.tandfonline.compromise in eliminating disease symptoms and promoting mucosal healing in both adult and pediatric IBD patients. [39][40][41] Although preliminary analyses suggest that one beneficial effect of the SCD is to increase bacterial diversity in the intestinal microbiome, 43 it is still unknown which of the eliminated dietary components promote disease or their mechanism(s) of action. We postulate that dietary additives, such as MDX, are potentiators of disease and, if true, could explain the suggested efficacy of seemingly disparate diets (i.e.…”

Section: Cultivating a Greater Understanding Of The Effect Of Diet Onmentioning

confidence: 99%

Deregulation of intestinal anti-microbial defense by the dietary additive, maltodextrin

2015

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“…In this study, there was no significant difference in complications between procedures performed by endoscopists who had and had not been on prior ND, but an extended procedure time has been reported to be a risk factor for post-ERCP pancreatitis[18,19]. In addition, Pan et al[20] found that a cannulation challenge to the common bile duct within 10 min gave the best results in trials by trainees.…”

Section: Discussionmentioning

confidence: 67%

Influence of night duty on endoscopic therapy for bile duct stones

Sugimoto¹,

Takagi²,

Suzuki³

et al. 2016

WJG

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AIMTo examine the influence of night duty (ND) on endoscopic therapy for biliary duct stones.METHODSThe subjects consisted of 133 patients who received initial endoscopic therapy for biliary duct stones performed by eight endoscopists after they had been on (ND group, n = 34 patients) or not [day duty (DD) group, n = 99 patients]. Patient characteristics (age, gender, history of abdominal surgery, transverse diameter of the largest stone, number of stones), years of experience of the endoscopists, endoscopic procedures [sphincterotomy, papillary balloon dilation (EPBD), papillary large balloon dilation (EPLBD)], and outcomes of initial endoscopy (procedure time; rate of stone removal by the first endoscopist; procedure success rate by the first endoscopist: removal of stones or endoscopic retrograde biliary drainage; rate of final stone removal; final procedure success rate; complications; hospitalization after the procedure) were compared retrospectively between the two groups. History of abdominal surgery and treatment outcomes were also compared between the groups for each of the four endoscopists who performed most of the procedures in the ND group.RESULTSThere were no significant differences regarding the number of treatments performed by each endoscopist or the years of experience between the ND and DD groups. The frequency of endoscopic retrograde cholangiopancreatography procedures did not differ significantly between the groups. There were also no significant differences regarding patient characteristics: age, gender, history of abdominal surgery (ND 7: Billroth II 4, R-Y 3; DD 18: double tract reconstruction 1, Billroth I 3, Billroth II 6, R-Y 7, duodenoduodenostomy for annular pancreas 1), transverse diameter of largest stone, and number of stones between the two groups. Among the treatment procedures, the endoscopic sphincterotomy and EPBD rates did not differ significantly between the groups. However, EPLBD was performed more frequently in the ND group [47.1% (16/34) vs 19.2% (19/99)]. Regarding outcomes, there were no significant differences in the rate of stone removal, procedure success rate, complications (ND: pancreatitis 1; DD: pancreatitis 6, duodenal bleeding 1, decreased blood pressure 1, hypoxia 2), or hospitalization after the procedure. However, the procedure time was significantly longer in the ND group (71.5 ± 44.7 vs 54.2 ± 28.8). Among the four endoscopists, there were no significant differences in patient history of abdominal surgery, removal of stones, or procedure success rate. However, the procedure time for one endoscopist was significantly longer in the ND group.CONCLUSIONThe time required for endoscopic therapy for bile duct stones might be influenced by ND.

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Rendezvous Cannulation Technique Reduces Post-ERCP Pancreatitis: A Prospective Nationwide Study of 12,718 ERCP Procedures

Abstract: Rendezvous bile duct cannulation during ERCP reduces the risk of PEP from 3.6 to 2.2% compared with conventional biliary cannulation.

Cited by 55 publications

References 33 publications

A Modified Technique Reduced Operative Time of Laparoendoscopic Rendezvous Endoscopic Retrograde Cholangiopancreatography Combined with Laparoscopic Cholecystectomy for Concomitant Gallstone and Common Bile Ductal Stone

A Modified Technique Reduced Operative Time of Laparoendoscopic Rendezvous Endoscopic Retrograde Cholangiopancreatography Combined with Laparoscopic Cholecystectomy for Concomitant Gallstone and Common Bile Ductal Stone

Deregulation of intestinal anti-microbial defense by the dietary additive, maltodextrin

Influence of night duty on endoscopic therapy for bile duct stones

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