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Success and Complication Rates of Two Precut Techniques, Transpancreatic Sphincterotomy and Needle-Knife Sphincterotomy for Bile Duct Cannulation

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Journal of Gastrointestinal Surgery Aims and scope

Abstracts

Background

The majority of literature on the precut technique is concerned with needle-knife sphincterotomy, whereas the comparison of transpancreatic sphincterotomy and needle-knife sphincterotomy has been rarely reported.

Aim

The aim of the study was to compare the success and the complication rates of transpancreatic sphincterotomy with needle-knife sphincterotomy.

Methods

During May 2006 and April 2007, 3,178 consecutive endoscopic retrograde cholangiopancreatography (ERCP) procedures were performed in a prospective multicenter study on ERCP-related complications. From the files of these patients, data of cases undergoing precut sphincterotomy, including transpancreatic sphincterotomy and needle-knife sphincterotomy, were retrospectively extracted and analyzed.

Results

Overall, 216 patients with precut sphincterotomy were identified; 140 cases received transpancreatic sphincterotomy, and 76 received needle-knife sphincterotomy. There was no significant difference in the initial and eventual success rates between transpancreatic and needle-knife sphincterotomy (82.9% vs. 90.8% and 90.0% vs. 90.8%, respectively). The overall incidences of complications and acute pancreatitis were not significantly different between the two groups (14.3% vs. 18.4% and 11.4% vs. 11.8%, respectively).

Conclusions

Transpancreatic precut sphincterotomy results in similar success and complication rates when compared with needle-knife sphincterotomy. This new precut technique seems to be a safe alternative to needle-knife sphincterotomy with reasonable success rates. However, prospective randomized controlled studies are required to verify our findings.

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Acknowledgments

We would like to thank all those endoscopists and physicians who assisted in data collection. This study was partially supported by a grant from Boston Scientific Corporation, China.

Competing interests

None.

Author information

Authors and Affiliations

  1. Department of Gastroenterology, Changhai Hospital, Second Military Medical University, 168 Changhai Road, Shanghai, 200433, China

    Peng Wang, Wei Zhang, Feng Liu & Zhao-Shen Li

  2. Heilongjiang Provincial Hospital, Harbin, China

    Xu Ren

  3. The Second Affiliated Hospital of Nanjing Medical University, Nanjing, China

    Zhi-Ning Fan

  4. The First People’s Hospital of Hangzhou, Hangzhou, China

    Xiao Zhang

  5. The First Affiliated Hospital of Nanchang University, Nanchang, China

    Nong-Hua Lu

  6. Shandong Communication Hospital, Jinan, China

    Wen-Sheng Sun

  7. The First Affiliated Hospital of Nanjing Medical University, Nanjing, China

    Rui-Hua Shi

  8. Qilu Hospital, Shandong University, Jinan, China

    Yan-Qing Li

  9. Tongji Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China

    Qiu Zhao

Authors
  1. Peng Wang
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  2. Wei Zhang
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  9. Wen-Sheng Sun
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  10. Rui-Hua Shi
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  11. Yan-Qing Li
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Corresponding author

Correspondence to Zhao-Shen Li.

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Wang, P., Zhang, W., Liu, F. et al. Success and Complication Rates of Two Precut Techniques, Transpancreatic Sphincterotomy and Needle-Knife Sphincterotomy for Bile Duct Cannulation. J Gastrointest Surg 14, 697–704 (2010). https://doi.org/10.1007/s11605-009-1134-x

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  • DOI: https://doi.org/10.1007/s11605-009-1134-x

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