Optimal Use of Precut and Wire-guided Techniques
نویسنده
چکیده
Endoscopic retrograde cholangiopancreatography (ERCP) is essential for the diagnosis and treatment of pancreatobiliary diseases but is invasive and may induce various complications, such as pancreatitis, cholangitis, hemorrhage and perforation. For successful and safe ERCP procedures first, initial selective cannulation without complications is essential. However, even in experts, selective biliary access may be incomplete in 5-10% of patients despite the various endoscopic techniques available to facilitate selective biliary access. For overcoming difficult cannulation, various technical tips are available and tried. In this section, we reviewed about various precut methods and wire-guided techniques for facilitating selective biliary access.
منابع مشابه
Optimal Use of Wire-Assisted Techniques and Precut Sphincterotomy
Various endoscopic techniques have been developed to overcome the difficulties in biliary or pancreatic access during endoscopic retrograde cholangiopancreatography, according to the preference of the endoscopist or the aim of the procedures. In terms of endoscopic methods, guidewire-assisted cannulation is a commonly used and well-known initial cannulation technique, or an alternative in cases...
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The precut sphincterotomy is used to facilitate selective biliary access in cases of difficult biliary cannulation. Needle-knife precut papillotomy is the standard of care but is associated with a high rate of complications such as pancreatitis, duodenal perforation, bleeding, etc. Sometimes during bowing of the sphincterotome/cannula and the use of guide wire to facilitate biliary cannulation,...
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