Selective cannulation of the common bile duct: a prospective randomized trial comparing standard catheters with sphincterotomes

Cortas, George; Mehta, Saurabh; Abraham, Neena S.; Barkun, Alan N.

doi:10.1016/s0016-5107(99)70157-4

Cited by 101 publications

(54 citation statements)

References 19 publications

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“…When the sphincterotome is used with a guide wire, primary cannulation failures tend to be less than 10% [2] an one study reported a failure rate of just 3%. This report of Cortas et al [30] of a small prospective trial provides a good example of the use and efficacy of a standard catheter versus a wire-guided sphincterotome. Failure was defined as an inability to achieve opacification or deep cannulation after 15 attempts with the initial catheter.…”

Section: Primary Cannulation Resultsmentioning

confidence: 95%

“…Standard catheters as primary tools only have success rates from 54% to 67% [3,4,29,30] . This translates into failures or difficult cannulations in 46% to 33% of cases.…”

Section: Primary Cannulation Resultsmentioning

confidence: 99%

“…Of course, if endoscopic methods fail, the transhepatic route can be used directly without an endoscopist or the rendezvous technique can be applied, depending on the problem. [3,30] Standard catheter with guide wire 81 [3] Sphincterotome 78 to 84 [4,29] Sphincterotome with guide wire 97 to 99 [26,30] Success in difficult cannulation after primary failure with standard method Persistence 73 to 75 [2,49] Needle knife 67 to 91 [2,6,9,34,37] Erlangen knife 78 to 100 [32,50] Pancreatic sphincterotomy 91 to 100 [10,12,13,22,40,41] Pancreatic stent 97 to 100 [28,47] Pancreatic guide wire 73 to 93 [5,8] Pancreatitis rate after difficult cannulation Persistence 2-4 [2,49] Needle knife 1-11 [2,6,9,34,37] Erlangen knife 3-7 [32,50] Pancreatic sphincterotomy 0-12 [10,12,13,22,40,41] Pancreatic stent 5-7 [28,47] Pancreatic guide wire 0-2 [5,8] Randomized controlled tri...…”

Section: Solutions For Overcoming Difficult Cannulationmentioning

confidence: 99%

See 2 more Smart Citations

Management of difficult bile duct cannulation in ERCP

Udd

Kylänpää²,

Halttunen³

2010

WJGE

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In Encoscopic Retrograde Cholangiopancreatography (ERCP), the main concern is to gain access into the bile duct while avoiding the pancreatic duct because of the risk of post-ERCP pancreatitis. Difficult cannulation is defined as a situation where the endoscopist, using his/her regularly used cannulation technique, fails within a certain time limit or after a certain number of unsuccessful attempts. Different methods have been developed to manage difficult cannulation. The most common solution is to perform a precut papillotomy either with a needle knife or with a sphincterotome with or without a guide wire. This review describes different methods to overcome cases of difficult cannulation. We will discuss the success rate and complication rates associated with different methods of reaching the biliary tract.

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Section: Primary Cannulation Resultsmentioning

confidence: 95%

“…Standard catheters as primary tools only have success rates from 54% to 67% [3,4,29,30] . This translates into failures or difficult cannulations in 46% to 33% of cases.…”

Section: Primary Cannulation Resultsmentioning

confidence: 99%

Section: Solutions For Overcoming Difficult Cannulationmentioning

confidence: 99%

See 1 more Smart Citation

Management of difficult bile duct cannulation in ERCP

Udd

Kylänpää²,

Halttunen³

2010

WJGE

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“…A korábban alkalmazott töltőkatéter helyett a papillotommal végzett intubálás széles körben elfogadott [23]. Abban is egyetértés van, hogy a ductus choledochus vagy pancreaticus lumenébe mélyen bevezetett papillotommal végzett kontrasztanyagtöltés kisebb kockázattal jár, mint a szájadékra helyezett vagy a nem kellő mélysé-gig bevezetett töltőkatéteren át történő kontrasztanyagadás.…”

Section: Kanülálási Technikaunclassified

Az endoszkópos retrográd cholangiopancreatographiát követő heveny hasnyálmirigy-gyulladás megelőzése

et al. 2015

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Állomány-egészségtani és Állatorvosi Etológia Tanszék, BudapestMagyarországon az évente elvégzett több mint 14 000 endoszkópos retrográd cholangiopancreatographia következ-tében hozzávetőlegesen 1400 pancreatitis kialakulásával, ezen belül 10 beteg halálával kell számolni. A szerzők átte-kintik az endoszkópos retrográd cholangiopancreatographiát követő heveny hasnyálmirigy-gyulladás megelőzésére vonatkozó szakirodalmat, ismertetik saját tapasztalataikat. Utalnak a diagnosztikus endoszkópos retrográd cholangiopancreatographia háttérbe szorulására. Hangsúlyozzák a beavatkozás javallatának gondos mérlegelését, a kockázati tényezők elemzését. Fontosnak tartják a kanülálások számának csökkentését, a korai előmetszést, a nagy kockázatú betegekben a pancreasstent beültetését, az indometacin vagy a diclofenac alkalmazását és a megfelelő intravénás folyadékbevitelt. Orv. Hetil., 2015, 156(18), 715-719. Kulcsszavak: endoszkópos retrográd cholangiopancreatographia, szövődmények, post-ERCP-s pancreatitis, megelőzés Prevention of pancreatitis following endoscopic retrograde cholangiopancreatographyOver 14 000 endoscopic retrograde cholangiopancreatographies are performed in Hungary annually, and approximately 1400 patients are calculated to develop pancreatititis including 10 cases with lethal outcome. This article is aimed to review recent relevant literature and to present a practical guide based on the authors' own experience for the prevention of pancreatitis following endoscopic retrograde cholangiopancreatography. The authors emphasize the importance of careful consideration of indications, analysis of risk factors, avoiding unnecessary diagnostic intervention, a decrease of the attempts for cannulation, early precut, implantation of pancreatic stent in high risk patients, administration of rectal indomethacin or diclofenac and adequate intravenous fl uid replacement. Keywords: endoscopic retrograde cholangiopancreatography, complications, Post-ERCP pancreatitis, preventionPatai, Á., Patai, Á. V., Solymosi, N., Tulassay, Z., Herszényi, L. [Prevention of pancreatitis following endoscopic retrograde cholangiopancreatography]. Orv. Hetil., 2015, 156(18), 715-719.

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“…Biliary and/or pancreatic duct cannulation and visualization are successful with ERCP in a high percentage of cases managed by experienced hands. The ERCP with stent insertion in patients with malignant pancreatic-biliary strictures has a success rates between 70% to 95% [1][2][3] . However, even if the procedure is performed by skillful endoscopist, there are patients in whom endoscopic stent placement is not possible.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic ultrasound guided biliary drainage

Tarantino

Barresi²,

Fabbri³

et al. 2012

WJGE

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Endoscopic retrograde cholangio-pancreatography is the most appropriate technique for treating common bile duct and pancreatic duct stenosis secondary to benign and malignant diseases. Even if the procedure is performed by skillful endoscopist, there are patients in whom endoscopic stent placement is not possible. Common causes of failure include complex peripapillary diverticula, prior surgery procedures, tumor involvement of the papilla, biliary sphincter stenosis, and impacted stones. Percutaneous trans-hepatic biliary drainage (PTBD) and surgical intervention carry morbidity and mortality. Recently endoscopic ultrasonography-guided biliary drainage has been reported as an alternative technique. Endoscopic ultrasonographyguided biliary drainage using either direct access or a rendezvous technique has attracted attention as an alternative procedure to PTBD, with a technical success between 75%-100% and with low complication rate. We have reviewed published data on EUS guided biliary drainage procedures with the aim of summarizing the efficacy and safety of this promising method.

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Selective cannulation of the common bile duct: a prospective randomized trial comparing standard catheters with sphincterotomes

Cited by 101 publications

References 19 publications

Management of difficult bile duct cannulation in ERCP

Management of difficult bile duct cannulation in ERCP

Az endoszkópos retrográd cholangiopancreatographiát követő heveny hasnyálmirigy-gyulladás megelőzése

Endoscopic ultrasound guided biliary drainage

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