The Usefulness and Safety of Pancreatic Guidewire Placement for Achieving Deep Cannulation of the Bile Duct

ERCP topics

“…However, a potential increase in the risk of PEP has raised concern about this technique. Ito et al attempted to prevent PEP after using the PGP trick by placing a 5−Fr, 4−cm−long pancreatic stent in 62 patients selected from a group of 104 [3]. The incidence of PEP was globally 7.7 %, with differences between subgroups: 1.8 % in 57 patients with successful pancreatic stent placement, 12 % in 42 patients in whom no attempt was made at stent placement (odds ratio [OR] for PEP, 9.8; 95 % CI, 1.2 ± 83), and 40 % in 5 patients in whom attempts at stent placement failed (OR for PEP, 22; 95 % CI, 1.7 ± 292).…”