Case series of transpancreatic septotomy as precutting technique for difficult bile duct cannulation

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dc.contributor.authorKapetanos, D.en
dc.contributor.authorKokozidis, G.en
dc.contributor.authorChristodoulou, D.en
dc.contributor.authorMistakidis, K.en
dc.contributor.authorDimakopoulos, K.en
dc.contributor.authorKatodritou, E.en
dc.contributor.authorKitis, G.en
dc.contributor.authorTsianos, E. V.en
dc.date.accessioned2015-11-24T19:31:30Z
dc.date.available2015-11-24T19:31:30Z
dc.identifier.issn1438-8812-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/23274
dc.rightsDefault Licence-
dc.subjectAdolescenten
dc.subjectAdulten
dc.subjectAgeden
dc.subjectAged, 80 and overen
dc.subject*Bile Ductsen
dc.subjectCatheterization/*methodsen
dc.subjectCholangiopancreatography, Endoscopic Retrograde/adverse effects/*methodsen
dc.subjectFemaleen
dc.subjectGastrointestinal Hemorrhage/etiologyen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectPancreasen
dc.subjectPancreatitis/etiologyen
dc.subjectRetrospective Studiesen
dc.titleCase series of transpancreatic septotomy as precutting technique for difficult bile duct cannulationen
heal.abstractBACKGROUND AND STUDY AIMS: Transpancreatic septotomy can be used instead of other precut techniques to facilitate bile duct cannulation after multiple failed attempts. Within the framework of a prospective randomized study on pentoxifylline, precut cases were retrospectively analyzed. PATIENTS AND METHODS: Of 320 endoscopic retrograde cholangiopancreatographies (ERCPs) in 306 patients with various indications who had a naive papilla, 34 cases of transpancreatic septotomy were identified and compared with 15 needle-knife sphincterotomies; six patients had received both techniques for bile duct access. Complications were defined according to consensus criteria. RESULTS: In the 55 patients in whom precutting techniques were employed, the use of both techniques alone or in combination resulted in a final common bile duct cannulation rate of 81.8%. Five patients developed complications (9.1%). Of the two cases of pancreatitis (3.6%), one was mild and one severe (combined group). Of the three cases with hemorrhage, one was mild (transpancreatic septotomy) and two severe (needle knife). In patients who underwent conventional pull-type sphincterotomy (n = 242), 6.2% developed complications (nine pancreatitis and six hemorrhage). CONCLUSION: In cases of difficult bile duct cannulation, transpancreatic septotomy seems to be a safe alternative to needle-knife precutting with reasonable success rates. It should be studied in prospective randomized trials.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1055/s-2007-966724-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/17703389-
heal.identifier.secondaryhttps://www.thieme-connect.de/ejournals/pdf/endoscopy/doi/10.1055/s-2007-966724.pdf-
heal.journalNameEndoscopyen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2007-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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