Journal article
Papillary roof incision using the Erlangen-type pre-cut papillotome to achieve selective bile duct cannulation
Gastrointestinal endoscopy, Vol.44(6), pp.689-695
1996
DOI: 10.1016/S0016-5107(96)70053-6
PMID: 8979059
Abstract
Background: Prior studies evaluating pre-cutting the major papilla to access the bile duct when standard cannulation fails have usually used the needle-knife papillotome. We conducted a prospective study to evaluate the efficacy and safety of an Erlangen-type pre-cut papillotome for pre-cutting.
Patients and Methods: Three hundred twenty-seven patients (114 men, mean age 67 years) who underwent first-time sphincterotomy at our institution were included. Pre-cutting was performed if free and wire-guided cannulation of the bile duct failed according to an algorithm.
Results: Pre-cutting was performed in 123 patients (38%) and selective cannulation was successful in all. Post-ERCP serum pancreatic enzyme levels were more frequently elevated in the pre-cut group (50%) than the non-pre-cut group (27%,
p < 0.001); however, there was no difference in the incidence of post-ERCP pancreatitis (pre-cut = 2.7%, 95% CI: 0.66% to 7.6%; non-pre-cut = 1.6%, 95% CI: 0.3% to 4.7%). The incidence of bleeding was similar (pre-cut, 2.4%, non-pre-cut, 3.9%;
p > 0.05).
Conclusion: Pre-cutting the major papilla for biliary access using the Erlangen-type pre-cut papillotome is an effective and reasonably safe procedure when performed by endoscopists with extensive experience in pancreatobiliary endoscopy. (Gastrointest Endosc 1996;44:689-95.)
Details
- Title: Subtitle
- Papillary roof incision using the Erlangen-type pre-cut papillotome to achieve selective bile duct cannulation
- Creators
- Kenneth F BinmoellerHans SeifertHenning GerkeUwe SeitzMary PortisNib Soehendra
- Resource Type
- Journal article
- Publication Details
- Gastrointestinal endoscopy, Vol.44(6), pp.689-695
- Publisher
- Mosby, Inc
- DOI
- 10.1016/S0016-5107(96)70053-6
- PMID
- 8979059
- ISSN
- 0016-5107
- eISSN
- 1097-6779
- Language
- English
- Date published
- 1996
- Academic Unit
- Gastroenterology and Hepatology; Internal Medicine
- Record Identifier
- 9984094610202771
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