Timing of precut procedure does not influence success rate and complications of ERCP procedure: a prospective randomized comparative study

A new guidewire cannulation technique in ERCP: successful deep biliary access with triple-lumen sphincterotome and guidewire controlled by the endoscopist

“…We performed precut sphincterotomy after 15-20 min of repeated cannulation attempts. Although an early precut procedures in experienced hands may be associated with increased success rates and lowered complication rates [29,30], we agree with other authors who perform the technique only when initial cannulation attempts have failed [19,31].…”

“…Multilumen sphincterotomes, guidewires, and short-wire systems have been used in recent years to obtain higher success rates and shorter times to cannulation, to secure deep bile cannulation, to perform wire-guided sphincterotomy, and to prevent complications [5,11,12,[17][18][19][20][21][22]. In addition, with the short-wire system, faster device exchange and stent insertion times have been achieved recently, as well as a decrease in total procedure time for therapy and a tendency toward shorter fluoroscopy time [23,24].…”

ERCP in Portugal: A Wide Survey on the Prevention of Post-ERCP Pancreatitis and Papillary Cannulation Techniques

“…Even with recent evidence favoring fistulotomy, there may be a natural resistance to switching from one technique we master to another. The tendency to keep the same type of precut over time has already been described by others [31, 33]. Regarding precut training, only 40.9% received a formal hands-on training during their residency.…”

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

“…One article was excluded because patients were managed by standard endoscopic sphincterotomy (ES), needle-knife papillotomy, or both techniques. Finally, six randomized prospective controlled trials met the inclusion criteria [4][5][6][7][8][9] ( Table 1) and were selected for the meta-analysis. Among the six studies, five [4,[6][7][8][9] mentioned the comparison of the baseline characteristics in the study and control group and showed that there was no statistically significant difference between the groups.…”

“…However, some studies have shown that application of precut techniques is time saving, safe, and effective, with no increase in complication rate. Six prospective randomized controlled studies have been conducted to establish the efficacy and safety of precut techniques for common bile duct (CBD) cannulation, with conflicting results [4][5][6][7][8][9].…”