Comparison of early pre-cutting vs standard technique for biliary cannulation in endoscopic retrograde cholangiopancreatography: A personal experience

doi:10.3748/wjg.v13.i27.3734

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Jul 21, 2007 (publication date) through Nov 3, 2024

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Jul 21, 2007; 13(27): 3734-3737
Published online Jul 21, 2007. doi: 10.3748/wjg.v13.i27.3734

Comparison of early pre-cutting vs standard technique for biliary cannulation in endoscopic retrograde cholangiopancreatography: A personal experience

Kannikar Laohavichitra, Thawatchai Akaraviputh, Asada Methasate, Somchai Leelakusolvong, Udom Kachintorn

Kannikar Laohavichitra, Thawatchai Akaraviputh, Asada Methasate, Department of Surgery, Siriraj GI Endoscopy center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand

Somchai Leelakusolvong, Udom Kachintorn, Siriraj GI Endoscopy center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand

Author contributions: All authors contributed equally to the work.

Correspondence to: Thawatchai Akaraviputh, MD, Department of Surgery, Siriraj GI Endoscopy center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand. sitak@mahidol.ac.th

Telephone: +66-2-4198005 Fax: +66-2-4121370

Received: February 2, 2007
Revised: March 10, 2007
Accepted: March 15, 2007
Published online: July 21, 2007

Abstract

AIM: To compare the results and complications of early pre-cutting technique with standard technique.

METHODS: From January 2003 to December 2004, a total of 416 consecutive therapeutic biliary ERCP procedures were performed by one endoscopist (T.A.). Data were retrospectively collected according to procedure indication and results. Of these, 293 procedures (70.4%) were done with standard technique (group A) and 123 procedures (29.6%) with early pre-cutting technique in case of difficult cannulation (group B). The results and complications of ERCP were compared.

RESULTS: Success rate of first attempt cannulation was 98.0% in group A and 87.8% in group B. The overall incidence of post-ERCP pancreatitis, hemorrhage, perforation and cholangitis was 0%, 0.2%, 0.5% and 0.5%, respectively. Morbidity rate was not significantly different. No procedure-related mortality was occurred.

CONCLUSION: For an experienced hand, the early pre-cutting technique for biliary cannulation is safe and effective as standard technique.

Keywords: Pre-cutting; Endoscopic retrograde cholangiopancreatography; Biliary cannulation; Complication; Pancreatitis