Pancreatic-duct stent placement facilitates difficult common bile duct cannulation - 18/08/11
Reprint requests: Eric Goldberg, MD, Division of Gastroenterology, University of Maryland Medical Center, 22 South Greene St. N3W62, Baltimore, MD 21201.Baltimore, Maryland, USA
Abstract |
Background |
Cannulation of the common bile duct can be difficult in certain instances. Difficult cannulation has been demonstrated to be a risk factor for post-ERCP pancreatitis. We report a technique to facilitate difficult cannulation that uses a pancreatic-duct stent to guide biliary cannulation.
Methods |
A retrospective review of all ERCPs performed at our institution from October 1, 2000 to June 30, 2004 (1638) was performed to identify all cases in which a pancreatic-duct stent was placed to guide common bile duct cannulation. Charts on these patients then were reviewed to assess cannulation success and complications. In addition, indications for the ERCP and previously failed cannulation attempts by outside physicians were documented.
Observations |
Thirty-nine patients had pancreatic-duct stents placed as an aid to guide common bile duct cannulation. Successful cannulation of the bile duct was achieved in 38 of the 39 patients (97.4%) Procedure-related pancreatitis occurred in two patients and was mild in both. There were no procedure-related deaths.
Conclusions |
In cases of difficult common bile duct cannulation, placement of a pancreatic-duct stent as a guide to aid common bile duct cannulation appears to be an effective and safe technique.
Le texte complet de cet article est disponible en PDF.Plan
| Poster presentation at Digestive Diseases Week, May 15-20, 2004, New Orleans, Louisiana (Gastrointest Endosc 2004;59:AB183). |
Vol 62 - N° 4
P. 592-596 - octobre 2005 Retour au numéro
Article précédent
- Pre-cut papillotomy with a new papillotome
- Sang-Heum Park, Hyun-Jun Kim, Do Hyun Park, Jung-Hoon Kim, Jae-Hak Lee, Suck-Ho Lee, Il-Kwun Chung, Hong-Soo Kim, Sun-Joo Kim
- Prospective study of a Trucut needle for performing EUS-guided biopsy with EUS-guided FNA rescue
- Angels Ginès, Maurits J. Wiersema, Jonathan E. Clain, Nicole L. Pochron, Elizabeth Rajan, Michael J. Levy
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?