Journal of Digestive Endoscopy (Sep 2024)

A Comparative Study of Transpancreatic Sphincterotomy, Double Guidewire Technique, and Precut Sphincterotomy in Difficult Naive Biliary Cannulations in a Tertiary Care Center in Western India

  • Shivani Chopra,
  • Vikramaditya Rawat,
  • Meghraj Ingle,
  • Saiprasad Lad,
  • Deepak Sasikumar,
  • Vinay D. Borkar,
  • Yatin Lunagariya,
  • Kiran B.,
  • Mit Shah,
  • Chintan Tailor,
  • Somraj Patil

DOI
https://doi.org/10.1055/s-0044-1788545
Journal volume & issue
Vol. 15, no. 03
pp. 163 – 168

Abstract

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Introduction Difficult biliary cannulation leads to prolonged papillary manipulation and repeated attempts at cannulation are known to increase the risk of postendoscopic retrograde cholangiopancreatography (ERCP) pancreatitis. This study aims to compare the efficacy and complications of three rescue methods, transpancreatic biliary sphincterotomy (TP), double guidewire technique (DGW), and precut sphincterotomy (precut) in difficult common bile duct (CBD) cannulations.

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