Double guidewire technique vs transpancreatic precut sphincterotomy in difficult biliary cannulation
DC Field | Value | Language |
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dc.contributor.author | Yoo, Young Wook | - |
dc.contributor.author | Cha, Sang-Woo | - |
dc.contributor.author | Lee, Woong Cheul | - |
dc.contributor.author | Kim, Sae Hee | - |
dc.contributor.author | Kim, Anna | - |
dc.contributor.author | Cho, Young Deok | - |
dc.date.accessioned | 2021-08-12T01:25:49Z | - |
dc.date.available | 2021-08-12T01:25:49Z | - |
dc.date.issued | 2013-01-07 | - |
dc.identifier.issn | 1007-9327 | - |
dc.identifier.issn | 2219-2840 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/13979 | - |
dc.description.abstract | AIM: To compare the outcomes between double-guidewire technique (DGT) and transpancreatic precut sphincterotomy (TPS) in patients with difficult biliary cannulation. METHODS: This was a prospective, randomized study conducted in single tertiary referral hospital in Korea. Between January 2005 and September 2010. A total of 71 patients, who bile duct cannulation was not possible and selective pancreatic duct cannulation was achieved, were randomized into DGT (n = 34) and TPS (n = 37) groups. DGT or TPS was done for selective biliary cannulation. We measured the technical success rates of biliary cannulation, median cannulation time, and procedure related complications. RESULTS: The distribution of patients after randomization was balanced, and both groups were comparable in baseline characteristics, except the higher percentage of endoscopic nasobiliary drainage in the DGT group (55.9% vs 13.5%, P < 0.001). Successful cannulation rate and mean cannulation times in DGT and TPS groups were 91.2% vs 91.9% and 14.1 +/- 13.2 min vs 15.4 +/- 17.9 min, P = 0.732, respectively. There was no significant difference between the two groups. The overall incidence of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis was 38.2% vs 10.8%, P < 0.011 in the DGT group and the TPS group; post-procedure pancreatitis was significantly higher in the DGT group. But the overall incidence of post-ERCP hyperamylasemia was no significant difference between the two groups; DGT group vs TPS group: 14.7% vs 16.2%, P < 1.0. CONCLUSION: When free bile duct cannulation was difficult and selective pancreatic duct cannulation was achieved, DGT and TPS facilitated biliary cannulation and showed similar success rates. However, post-procedure pancreatitis was significantly higher in the DGT group. (C) 2013 Baishideng. All rights reserved. | - |
dc.format.extent | 7 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Baishideng Publishing Group | - |
dc.title | Double guidewire technique vs transpancreatic precut sphincterotomy in difficult biliary cannulation | - |
dc.type | Article | - |
dc.publisher.location | 미국 | - |
dc.identifier.doi | 10.3748/wjg.v19.i1.108 | - |
dc.identifier.scopusid | 2-s2.0-84873651390 | - |
dc.identifier.wosid | 000313199800017 | - |
dc.identifier.bibliographicCitation | World Journal of Gastroenterology, v.19, no.1, pp 108 - 114 | - |
dc.citation.title | World Journal of Gastroenterology | - |
dc.citation.volume | 19 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 108 | - |
dc.citation.endPage | 114 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.subject.keywordPlus | COMMON BILE-DUCT | - |
dc.subject.keywordPlus | ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY | - |
dc.subject.keywordPlus | PANCREATIC SPHINCTEROTOMY | - |
dc.subject.keywordPlus | DEEP CANNULATION | - |
dc.subject.keywordPlus | CONTROLLED-TRIAL | - |
dc.subject.keywordPlus | WIRE PLACEMENT | - |
dc.subject.keywordPlus | RISK-FACTORS | - |
dc.subject.keywordPlus | ERCP | - |
dc.subject.keywordPlus | COMPLICATIONS | - |
dc.subject.keywordPlus | SUCCESS | - |
dc.subject.keywordAuthor | Endoscopic retrograde cholangiopancreatography | - |
dc.subject.keywordAuthor | Post-endoscopic retrograde cholangiopancreatography pancreatitis | - |
dc.subject.keywordAuthor | Duoble guidewire technique | - |
dc.subject.keywordAuthor | Transpancrestic precut sphincterotomy | - |
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