Mori A, Ohashi N, Maruyama T, Tatebe H, Sakai K, Shibuya T, Inoue H, Takegoshi S, Okuno M. Transnasal endoscopic retrograde chalangiopancreatography using an ultrathin endoscope: A prospective comparison with a routine oral procedure. World J Gastroenterol 2008; 14(10): 1514-1520 [PMID: 18330940 DOI: 10.3748/wjg.14.1514]
Corresponding Author of This Article
Akihiro Mori, MD, Department of Gastroenterology, Inuyama Chuo Hospital, Aichi 484-8511, Japan. a-mori@inuyamachuohospital.or.jp
Article-Type of This Article
Clinical Research
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Mar 14, 2008; 14(10): 1514-1520 Published online Mar 14, 2008. doi: 10.3748/wjg.14.1514
Table 1 Patient characteristics and baseline cardiovascular parameters in each group (mean ± SD)
Groups
o-ERCP
n-ERCP
P-value
Number of patients
25
25
Male/Female
17/8
17/8
0.76
Median age (range)
69 (32-89)
74 (35-85)
0.07
Systolic blood pressure (mmHg)
129 ± 20
133 ± 19
0.50
Pulse rate (/min)
71 ± 12
65 ± 11
0.08
SpO2 (%)
99 ± 1.6
98 ± 1.6
0.35
Indication for ERCP (n)
Cholecyst lithiasis
6
2
Choledochus lithiasis
11
10
Cancer
6
10
0.50
Pancreatitis
1
2
Others
1
1
Table 2 Esophagogastroduodenoscopy prior to ERCP and its diagnosis
Groups
o-ERCP
n-ERCP
Number of patients
25
25
EGD prior to ERCP
25
0
Diagnosis
Normal finding
8
10
Pathological findings
17
15
Reflux esophagitis
1
2
Sliding hernia
4
2
Esophageal diverticulum
1
0
Atrophic gastritis
10
11
Duodenal ulcer scar
1
4
Gastric adenoma
1
1
Gastric SMT
0
1
Table 3 Successful rates of cannulation and endoscopic naso-biliary drainage and rates of post-ERCP hyperamylasemia in each group
Groups
o-ERCP
n-ERCP
P-value
Successful cannulation (%)
Either of the ducts
25/25
23/25
0.510
(100)
(92)
Common bile duct
24/25
18/25
0.053
(96)
(72)
Pancreatic duct
24/25
21/23
0.940
(96)
(91)
Median time for cannulation, min (%)
8
7
0.590
(2-24)
(4-20)
Post-procedural hyperamylasemia (%)
7/25
5/23
0.870
(28)
(22)
Successful ENBD (%)
20/21
13/15
0.340
(95)
(87)
Table 4 Rates and times required for successful cannulation in each pattern of the endoscopic shape
Patterns
C
U
J
Total
Successful cannulation (%)
Either of the ducts
6
14
3
23
Common bile duct
6/6
9/14
3/3
18/23
(100)
(64)
(100)
(78)
Pancreatic duct
5/5
14/14
2/2
21/21
(100)
(100)
(100)
(100)
Median time for cannulation, min (%)
Either of the ducts
6.5
7.3
7
7
(5-8)
(4-20)
(4-14)
(4-20)
Common bile duct
10.5
20
16
17
(8-37)
(7-35.5)
(6-19)
(6-37)
Pancreatic duct
6
13
6
9
(5-8)
(6-26)
(5-7)
(5-26)
Termination
31
34
24
33
(14-38)
(11-61)
(12-34)
(11-61)
Citation: Mori A, Ohashi N, Maruyama T, Tatebe H, Sakai K, Shibuya T, Inoue H, Takegoshi S, Okuno M. Transnasal endoscopic retrograde chalangiopancreatography using an ultrathin endoscope: A prospective comparison with a routine oral procedure. World J Gastroenterol 2008; 14(10): 1514-1520