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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jan 7, 2025; 31(1): 97240
Published online Jan 7, 2025. doi: 10.3748/wjg.v31.i1.97240
Published online Jan 7, 2025. doi: 10.3748/wjg.v31.i1.97240
Pancreatic stent improves the success rate of needle-knife papillotomy in patients with difficult biliary cannulation
Mu-Hsien Lee, Cheng-Hui Lin, Chi-Huan Wu, Yung-Kuan Tsou, Kai-Feng Sung, Sheng-Fu Wang, Nai-Jen Liu, Department of Gastroenterology and Hepatology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan 33305, Taiwan
Yung-Kuan Tsou, School of Medicine, Chang Gung University, Taoyuan 33305, Taiwan
Author contributions: Lee MH conception and design; analysis and interpretation of the data; drafting of the article, and critical revision of the article for important intellectual content; Lin CH, Wu CH, Sung KF, Wang SF, Liu NJ analysis and interpretation of the data; Tsou YK conception and design; analysis and interpretation of the data, and critical revision of the article for important intellectual content; final approval of the article. All authors have read and approve the final manuscript.
Institutional review board statement: This study was approved by the Institutional Review Board of Chang Gung Memorial Hospital (approval number: 202301744B0).
Informed consent statement: As this retrospective study employed routine clinical treatment and diagnostic medical records and did not involve cases of human immunodeficiency virus infection, the Chang Gung Medical Foundation Institutional Review Board waived the requirement for participant consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: Deidentified individual participant data are available and will be provided on reasonable request to the corresponding author. The study protocol and analytic codes are also available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yung-Kuan Tsou, MD, Associate Professor, Chief Physician, Doctor, Department of Gastroenterology and Hepatology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, No. 5 Fuxing Street, Taoyuan 33305, Taiwan.
Received: May 26, 2024
Revised: October 25, 2024
Accepted: November 15, 2024
Published online: January 7, 2025
Processing time: 196 Days and 20.5 Hours
Revised: October 25, 2024
Accepted: November 15, 2024
Published online: January 7, 2025
Processing time: 196 Days and 20.5 Hours
Core Tip
Core Tip: This observational study showed that pancreatic stent (PS) placement aids identification of the direction of the common bile duct and increases the success rate of needle-knife papillotomy in patients with difficult biliary cannulation, especially with less experienced operators. Significant bleeding during needle-knife papillotomy and in patients with a periampullary diverticulum can detract from the success of the procedure. Although PS placement tends to improve the success rate of needle-knife papillotomy, randomized controlled trials are required to validate the results.