Papillary cannulation and sphincterotomy techniques at ERCP: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline
14 June 2016 (eFirst)
This Guideline is an official statement of the European Society of Gastrointestinal Endoscopy (ESGE). It provides practical advice on how to achieve successful cannulation and sphincterotomy at minimum risk to the patient. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system was adopted to define the strength of recommendations and the quality of evidence.
1 ESGE suggests that difficult biliary cannulation is defined by the presence of one or more of the following: more than 5 contacts with the papilla whilst attempting to cannulate; more than 5 minutes spent attempting to cannulate following visualization of the papilla; more than one unintended pancreatic duct cannulation or opacification (low quality evidence, weak recommendation).
2 ESGE recommends the guidewire-assisted technique for primary biliary cannulation, since it reduces the risk of post-ERCP pancreatitis (moderate quality evidence, strong recommendation).
3 ESGE recommends using pancreatic guidewire (PGW)-assisted biliary cannulation in patients where biliary cannulation is difficult and repeated unintentional access to the main pancreatic duct occurs (moderate quality evidence, strong recommendation).
ESGE recommends attempting prophylactic pancreatic stenting in all patients with PGW-assisted attempts at biliary cannulation (moderate quality evidence, strong recommendation).
4 ESGE recommends needle-knife fistulotomy as the preferred technique for precutting (moderate quality evidence, strong recommendation).
ESGE suggests that precutting should be used only by endoscopists who achieve selective biliary cannulation in more than 80 % of cases using standard cannulation techniques (low quality evidence, weak recommendation).
When access to the pancreatic duct is easy to obtain, ESGE suggests placement of a pancreatic stent prior to precutting (moderate quality evidence, weak recommendation).
5 ESGE recommends that in patients with a small papilla that is difficult to cannulate, transpancreatic biliary sphincterotomy should be considered if unintentional insertion of a guidewire into the pancreatic duct occurs (moderate quality evidence, strong recommendation).
In patients who have had transpancreatic sphincterotomy, ESGE suggests prophylactic pancreatic stenting (moderate quality evidence, strong recommendation).
6 ESGE recommends that mixed current is used for sphincterotomy rather than pure cut current alone, as there is a decreased risk of mild bleeding with the former (moderate quality evidence, strong recommendation).
7 ESGE suggests endoscopic papillary balloon dilation (EPBD) as an alternative to endoscopic sphincterotomy (EST) for extracting CBD stones < 8 mm in patients without anatomical or clinical contraindications, especially in the presence of coagulopathy or altered anatomy (moderate quality evidence, strong recommendation).
8 ESGE does not recommend routine biliary sphincterotomy for patients undergoing pancreatic sphincterotomy, and suggests that it is reserved for patients in whom there is evidence of coexisting bile duct obstruction or biliary sphincter of Oddi dysfunction (moderate quality evidence, weak recommendation).
9 In patients with periampullary diverticulum (PAD) and difficult cannulation, ESGE suggests that pancreatic duct stent placement followed by precut sphincterotomy or needle-knife fistulotomy are suitable options to achieve cannulation (low quality evidence, weak recommendation).
ESGE suggests that EST is safe in patients with PAD. In cases where EST is technically difficult to complete as a result of a PAD, large stone removal can be facilitated by a small EST combined with EPBD or use of EPBD alone (low quality evidence, weak recommendation).
10 For cannulation of the minor papilla, ESGE suggests using wire-guided cannulation, with or without contrast, and sphincterotomy with a pull-type sphincterotome or a needle-knife over a plastic stent (low quality evidence, weak recommendation).
When cannulation of the minor papilla is difficult, ESGE suggests secretin injection, which can be preceded by methylene blue spray in the duodenum (low quality evidence, weak recommendation).
11 In patients with choledocholithiasis who are scheduled for elective cholecystectomy, ESGE suggests intraoperative ERCP with laparoendoscopic rendezvous (moderate quality evidence, weak recommendation).
ESGE suggests that when biliary cannulation is unsuccessful with a standard retrograde approach, anterograde guidewire insertion either by a percutaneous or endoscopic ultrasound (EUS)-guided approach can be used to achieve biliary access (low quality evidence, weak recommendation).
12 ESGE suggests that in patients with Billroth II gastrectomy ERCP should be performed in referral centers, with the side-viewing endoscope as a first option; forward-viewing endoscopes are the second choice in cases of failure (low quality evidence, weak recommendation).
A straight standard ERCP catheter or an inverted sphincterotome, with or without the guidewire, is recommended by ESGE for biliopancreatic cannulation in patients who have undergone Billroth II gastrectomy (low quality evidence, strong recommendation).
Endoscopic papillary ballon dilation (EPBD) is suggested as an alternative to sphincterotomy for stone extraction in the setting of patients with Billroth II gastrectomy (low quality evidence, weak recommendation).
In patients with complex post-surgical anatomy ESGE suggests referral to a center where device-assisted enteroscopy techniques are available (very low quality evidence, weak recommendation).
- 1 Tse F, Yuan Y, Moayyedi P et al. Guidewire-assisted cannulation of the common bile duct for the prevention of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis. Cochrane Database Syst Rev 2012; 12: CD009662
- 2 Williams EJ, Taylor S, Fairclough P et al. Are we meeting the standards set for endoscopy? Results of a large-scale prospective survey of endoscopic retrograde cholangio-pancreatograph practice. Gut 2007; 56: 821-829
- 3 Dumonceau JM, Hassan C, Riphaus A et al. European Society of Gastrointestinal Endoscopy (ESGE) Guideline Development Policy. Endoscopy 2012; 44: 626-629
- 4 Artifon EL, Sakai P, Cunha JE et al. A Guidewire cannulation reduces risk of post-ERCP pancreatitis and facilitates bile duct cannulation. Am J Gastroenterol 2007; 102: 2147-2153
- 5 Testoni PA, Mariani A, Giussani A et al. Risk factors for post-ERCP pancreatitis in high- and low-volume centers and among expert and non-expert operators: a prospective multicenter study. Am J Gastroenterol 2010; 105: 1753-1761
- 6 Mariani A, Giussani A, Di Leo M et al. Guidewire biliary cannulation does not reduce post-ERCP pancreatitis compared with the contrast injection technique in low-risk and high-risk patients. Gastrointest Endosc 2012; 75: 339-346
- 7 Dumonceau JM, Andriulli A, Elmunzer BJ et al. Prophylaxis of post-ERCP pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - updated June 2014. Endoscopy 2014; 46: 799-815
- 8 Halttunen J, Meisner S, Aabakken L et al. Difficult cannulation as defined by a prospective study of the Scandinavian Association for Digestive Endoscopy (SADE) in 907 ERCPs. Scand J Gastroenterol 2014; 49: 752-758
- 9 Freeman ML, DiSario AJ, Nelson DB et al. Risk factors for post-ERCP pancreatitis: a prospective, multicenter study. Gastrointest Endosc 2001; 54: 425-434
- 10 Friedland S, Soetikno RM, Vandervoort J et al. Bedside scoring system to predict the risk of developing pancreatitis following ERCP. Endoscopy 2002; 34: 483-488
- 11 Masci E, Mariani A, Curioni S et al. Risk factors for pancreatitis following endoscopic retrograde cholangiopancreatography: a meta-analysis. Endoscopy 2003; 35: 830-834
- 12 Wang P, Li ZS, Liu F et al. Risk factors for ERCP-related complications: a prospective multicenter study. Am J Gastroenterol 2009; 104: 31-40
- 13 Ding X, Zhang F, Wang Y. Risk factors for post-ERCP pancreatitis: A systematic review and meta-analysis. Surgeon 2015; 13: 218-229
- 14 Verma D, Gostout CJ, Petersen BT et al. Establishing a true assessment of endoscopic competence in ERCP during training and beyond: a single-operator learning curve for deep biliary cannulation in patients with native papillary anatomy. Gastrointest Endosc 2007; 65: 394-400
- 15 Baron TH, Petersen BT, Mergener K et al. Quality indicators for endoscopic retrograde cholangiopancreatography. Am J Gastroenterol 2006; 101: 892-897
- 16 Guda NM, Freeman ML. Are you safe for your patients – how many ERCPs should you be doing?. Endoscopy 2008; 40: 675-676
- 17 Williams EJ, Taylor S, Fairclough P et al. Risk factors for complication following ERCP; results of a large-scale, prospective multicenter study. Endoscopy 2007; 39: 793-801
- 18 Bourke MJ, Costamagna G, Freeman ML. Biliary cannulation during endoscopic retrograde cholangiopancreatography: core technique and recent innovations. Endoscopy 2009; 41: 612-617
- 19 Laasch HU, Tringali A, Wilbraham L et al. Comparison of standard and steerable catheters for bile duct cannulation in ERCP. Endoscopy 2003; 35: 669-674
- 20 Lella F, Bagnolo F, Colombo E et al. A simple way of avoiding post-ERCP pancreatitis. Gastrointest Endosc 2004; 59: 830-834
- 21 Lee TH, Park do H, Park JY et al. Can wire-guided cannulation prevent post-ERCP pancreatitis? A prospective randomized trial. Gastrointest Endosc 2009; 69: 444-449
- 22 Kawakami H, Maguchi H, Mukai T et al. Japan Bile Duct Cannulation Study Group. A multicenter, prospective, randomized study of selective bile duct cannulation performed by multiple endoscopists: the BIDMEN study. Gastrointest Endosc 2012; 75: 362-372
- 23 Katsinelos P, Paroutoglou G, Kountouras J et al. A comparative study of standard ERCP catheter and hydrophilic guide wire in the selective cannulation of the common bile duct. Endoscopy 2008; 40: 302-307
- 24 Bailey AA, Bourke MJ, Williams SJ et al. A prospective randomized trial of cannulation technique in ERCP: effects on technical success and post-ERCP pancreatitis. Endoscopy 2008; 40: 296-301
- 25 Nambu T, Ukita T, Shigoka H et al. Wire-guided selective cannulation of the bile duct with a sphincterotome: a prospective randomized comparative study with the standard method. Scand J Gastroenterol 2011; 46: 109-115
- 26 Kobayashi G, Fujita N, Imaizumi K et al. Wire-guided biliary cannulation technique does not reduce the risk of post-ERCP pancreatitis: multicenter randomized controlled trial. Dig Endosc 2013; 25: 295-302
- 27 Cennamo V, Fuccio L, Zagari RM et al. Can a wire guided cannulation technique increase bile duct cannulation rate and prevent post-ERCP pancreatitis? A meta-analysis of randomized controlled trials. Am J Gastroenterol 2009; 104: 2343-2350
- 28 Cheung J, Tsoi KK, Quan WL et al. Guidewire versus conventional contrast cannulation of the common bile duct for the prevention of post-ERCP pancreatitis: a systematic review and meta-analysis. Gastrointest Endosc 2009; 70: 1211-1229
- 29 Tse F, Yuan Y, Moayyedi P et al. Guidewire-assisted cannulation for the prevention of post-ERCP pancreatitis: a systematic review and meta-analysis. Endoscopy 2013; 45: 605-618
- 30 Shao LM, Chen QY, Chen MY et al. Can wire-guided cannulation reduce the risk of post-endoscopic retrograde cholangiopancreatography pancreatitis? A meta-analysis of randomized controlled trials. J Gastroenterol Hepatol 2009; 24: 1710-1715
- 31 Cotton PB, Lehman G, Vennes J et al. Endoscopic sphincterotomy complications and their management: an attempt at consensus. Gastrointest Endosc 1991; 37: 383-393
- 32 Tarnasky PR. Guidewire cannulation: friend or foe. Gastrointest Endosc 2012; 76: 919-920
- 33 Halttunen J, Kylänpää L. A prospective randomized study of thin versus regular-sized guide wire in wire-guided cannulation. Surg Endosc 2013; 27: 1662-1667
- 34 Vihervaara H, Grönroos JM, Koivisto M et al. Angled- or straight-tipped hydrophilic guidewire in biliary cannulation: a prospective, randomized, controlled trial. Surg Endosc 2013; 27: 1281-1286
- 35 Tsuchiya T, Itoi T, Maetani I et al. Effectiveness of the J-Tip guidewire for selective biliary cannulation compared to conventional guidewires (The JANGLE Study). Dig Dis Sci 2015; 60: 2502-2508
- 36 Tanaka R, Itoi T, Sofuni A et al. Is the double-guidewire technique superior to the pancreatic duct guidewire technique in cases of pancreatic duct opacification?. J Gastroenterol Hepatol 2013; 28: 1787-1793
- 37 Herreros de Tejada A, Calleja JL, Diaz G et al. Double-guidewire technique for difficult bile duct cannulation: a multicenter randomized, controlled trial. Gastrointest Endosc 2009; 70: 700-709
- 38 Angsuwatcharakon P, Rerknimitr R, Ridtitid W et al. Success rate and cannulation time between precut sphincterotomy and double-guidewire technique in truly difficult biliary cannulation. J Gastroenterol Hepatol 2012; 27: 356-3561
- 39 Coté GA, Mullady DK, Jonnalagadda SS et al. Use of a pancreatic duct stent or guidewire facilitates bile duct access with low rates of precut sphincterotomy: a randomized clinical trial. Dig Dis Sci 2012; 57: 3271-3278
- 40 Maeda S, Hayashi H, Hosokawa O et al. Prospective randomized pilot trial of selective biliary cannulation using pancreatic guide-wire placement. Endoscopy 2003; 35: 721-724
- 41 Yoo YW, Cha S-W, Lee WC et al. Double guidewire technique vs transpancreatic precut sphincterotomy in difficult biliary cannulation. World J Gastroenterol 2013; 19: 108-114
- 42 Ito K, Horaguchi J, Fujita N et al. Clinical usefulness of double-guidewire technique for difficult biliary cannulation in endoscopic retrograde cholangiopancreatography. Dig Endosc 2014; 26: 442-449
- 43 Lee TH, Hwang SO, Choi HJ et al. Sequential algorithm analysis to facilitate selective biliary access for difficult biliary cannulation in ERCP: a prospective clinical study.Feb. BMC Gastroenterol 2014; DOI: 10.1186/1471–230X-14-30.
- 44 Xinopoulos D, Bassioukas SP, Kypreos D et al. Pancreatic duct guidewire placement for biliary cannulation in a single-session therapeutic ERCP. World J Gastroenterol 2011; 17: 1989-1995
- 45 Nguyen-Tang T, Dumonceau J-M. Double-guidewire technique for difficult bile duct cannulation: why not insert a prophylactic pancreatic stent?. Gastrointest Endosc 2010; 72: 466; author reply 466-467
- 46 Ito K, Fujita N, Noda Y et al. Can pancreatic duct stenting prevent post-ERCP pancreatitis in patients who undergo pancreatic duct guidewire placement for achieving selective biliary cannulation? A prospective randomized controlled trial. J Gastroenterol 2010; 45: 1183-1191
- 47 Nakahara K, Okuse C, Suetani K et al. Need for pancreatic stenting after sphincterotomy in patients with difficult cannulation. World J Gastroenterol 2014; 20: 8617-8623
- 48 Hisa T. Impact of changing our cannulation method on the incidence of post-endoscopic retrograde cholangiopancreatography pancreatitis after pancreatic guidewire placement. World J Gastroenterol 2011; 17: 5289
- 49 Lim JU, Joo KR, Cha JM et al. Early use of needle-knife fistulotomy is safe in situations where difficult biliary cannulation is expected. Dig Dis Sci 2012; 57: 1384-1390
- 50 Kaffes AJ, Sriram PVJ, Rao GV et al. Early institution of pre-cutting for difficult biliary cannulation: a prospective study comparing conventional vs. a modified technique. Gastrointest Endosc 2005; 62: 669-674
- 51 Cennamo V, Fuccio L, Zagari RM et al. Can early precut implementation reduce endoscopic retrograde cholangiopancreatography-related complication risk? Meta-analysis of randomized controlled trials. Endoscopy 2010; 42: 381-388
- 52 Gong B, Hao L, Bie L et al. Does precut technique improve selective bile duct cannulation or increase post-ERCP pancreatitis rate? A meta-analysis of randomized controlled trials. Surg Endosc 2010; 24: 2670-2680
- 53 Navaneethan U, Konjeti R, Venkatesh PG K et al. Early precut sphincterotomy and the risk of endoscopic retrograde cholangio-pancreatography related complications: An updated meta-analysis. World J Gastrointest Endosc 2014; 6: 200-208
- 54 Choudhary A, Winn J, Siddique S et al. Effect of precut sphincterotomy on post-endoscopic retrograde cholangio-pancreatography pancreatitis: A systematic review and meta-analysis. World J Gastroenterol 2014; 20: 4093-4101
- 55 Swan MP, Alexander S, Moss A et al. Needle knife sphincterotomy does not increase the risk of pancreatitis in patients with difficult biliary cannulation. Clin Gastroenterol Hepatol 2013; 11: 430-436
- 56 Harewood GC, Baron TH. An assessment of the learning curve for precut biliary sphincterotomy. Am J Gastroenterol 2002; 97: 1708-1712
- 57 Katsinelos P, Mimidis K, Paroutoglou G et al. Needle-knife papillotomy: a safe and effective technique in experienced hands. Hepatogastroenterology 2004; 51: 349-352
- 58 Robison LS, Varadarajulu S, Wilcox CM. Safety and success of precut biliary sphincterotomy: Is it linked to experience or expertise?. World J Gastroenterol 2007; 13: 2183-2186
- 59 Akaraviputh T, Lohsiriwat V, Swangsri J et al. The learning curve for safety and success of precut sphincterotomy for therapeutic ERCP: a single endoscopist’s experience. Endoscopy 2008; 40: 513-516
- 60 Fukatsu H, Kawamoto H, Harada R et al. Quantitative assessment of technical proficiency in performing needle-knife precut papillotomy. Surg Endosc 2009; 23: 2066-2072
- 61 Figueiredo FA, Pelosi AD, Machado L et al. Precut papillotomy: a risky technique not only for experts but also for average endoscopists skilled in ERCP. Dig Dis Sci 2010; 55: 1485-1489
- 62 Lee TH, Bang BW, Park SH et al. Precut fistulotomy for difficult biliary cannulation: is it a risky preference in relation to the experience of an endoscopist?. Dig Dis Sci 2011; 56: 1896-1903
- 63 Sundaralingam P, Masson P, Bourke MJ et al. Early precut sphincterotomy does not increase risk during endoscopic retrograde cholangiopancreatography in patients with difficult biliary access: a meta-analysis of randomized controlled trials. Clin Gastroenterol Hepatol 2015; 13: 1722-1729
- 64 Lopes L, Dinis-Ribeiro M, Rolanda C. Early precut fistulotomy for biliary access: time to change the paradigm of “the later, the better”?. Gastrointest Endosc 2014; 80; 634-641
- 65 Mavrogiannis C, Liatsos C, Romanos A et al. Needle-knife fistulotomy versus needle-knife papillotomy for the treatment of common bile duct stones. Gastrointest Endosc 1999; 50: 334-339
- 66 Katsinelos P, Gkagkalis S, Chatzimavroudis G et al. Comparison of three types of precut technique to achieve common bile duct cannulation: a retrospective analysis of 274 cases. Dig Dis Sci 2012; 57: 3286-3292
- 67 Abu-Hamda EM, Baron TH, Simmons DT et al. A retrospective comparison of outcomes using three different precut needle knife techniques for biliary cannulation. J Clin Gastroenterol 2005; 39: 717-721
- 68 Horiuchi A, Nakayama Y, Kajiyama M et al. Effect of precut sphincterotomy on biliary cannulation based on the characteristics of the major duodenal papilla. Clin Gastroenterol Hepatol 2007; 9: 1113-1118
- 69 Testoni PA, Testoni S, Giussani A. Difficult biliary cannulation during ERCP: how to facilitate biliary access and minimize the risk of post-ERCP pancreatitis. Dig Liver Dis 2011; 43: 596-603
- 70 Testoni PA, Mariani A, Giussani A et al. Risk factors for post-ERCP pancreatitis in high- and low-volume centers and among expert and non-expert operators: a prospective multicenter study. Am J Gastroenterol 2010; 105: 1753-1761
- 71 Kubota K, Sato T, Kato S et al. Needle-knife precut papillotomy with a small incision over a pancreatic stent improves the success rate and reduces the complication rate in difficult biliary cannulations. J Hepatobiliary Pancreat Sci 2013; 20: 382-388
- 72 Cha SW, Leung WD, Lehman GA et al. Does leaving a main pancreatic duct stent in place reduce the incidence of precut biliary sphincterotomy-associated pancreatitis? A randomized, prospective study. Gastrointest Endosc 2013; 77: 209-216
- 73 Madácsy L, Kurucsai G, Fejes R et al. Prophylactic pancreas stenting followed by needle-knife fistulotomy in patients with sphincter of Oddi dysfunction and difficult cannulation: new method to prevent post-ERCP pancreatitis. Dig Endosc 2009; 21: 8-13
- 74 Fogel EL, Eversman D, Sherman S et al. Sphincter of Oddi dysfunction : pancreaticobiliary sphincterotomy with pancreatic stent placement has a lower rate of pancreatitis than biliary sphincterotomy alone. Endoscopy 2002; 34: 280-285
- 75 Varadarajulu S, Wilcox CM. Randomized trial comparing needle-knife and pull-sphincterotome techniques for pancreatic sphincterotomy in high-risk patients. Gastrointest Endosc 2006; 64: 716-722
- 76 Lawrence C, Romagnuolo J, Cotton PB et al. Post-ERCP pancreatitis rates do not differ between needle-knife and pull-type pancreatic sphincterotomy techniques: a multiendoscopist 13-year experience. Gastrointest Endosc 2009; 69: 1271-1275
- 77 Attwell A, Borak G, Hawes R et al. Endoscopic pancreatic sphincterotomy for pancreas divisum by using a needle-knife or standard pull-type technique: safety and reintervention rates. Gastrointest Endosc 2006; 64: 705-711
- 78 Coté GA, Ansstas M, Pawa R et al. Difficult biliary cannulation: use of physician-controlled wire-guided cannulation over a pancreatic duct stent to reduce the rate of precut sphincterotomy (with video). Gastrointest Endosc 2010; 71: 275-279
- 79 Afghani E, Akshintala VS, Khashab MA et al. 5-Fr vs. 3-Fr pancreatic stents for the prevention of post-ERCP pancreatitis in high-risk patients: a systematic review and network meta-analysis. Endoscopy 2014; 46: 573-580
- 80 Goff JS. Common bile duct pre-cut sphincterotomy: transpancreatic sphincter approach. Gastrointest Endosc 1995; 41: 502-506
- 81 Zang J, Zhang C, Gao J. Guidewire-assisted transpancreatic sphincterotomy for difficult biliary cannulation: a prospective randomized controlled trial. Surg Laparosc Endosc Percutan Tech 2014; 24: 429-433
- 82 Chun CG, Cha S-W, Kim SH et al. DGT vs. TPS in patients with initial PD cannulation by chance: prospective randomized multicenter study. Gastrointest Endosc 2012; 75: AB141
- 83 Catalano MF, Linder JD, Geenen JE. Endoscopic transpancreatic papillary septotomy for inaccessible obstructed bile ducts: comparison with standard pre-cut papillotomy. Gastrointest Endosc 2004; 60: 557-561
- 84 Kahaleh M, Tokar J, Mullick T et al. Prospective evaluation of pancreatic sphincterotomy as a precut technique for biliary cannulation. Clin Gastroenterol Hepatol 2004; 2: 971-977
- 85 Lee YJ, Park YK, Lee MJ et al. Different strategies for transpancreatic septotomy and needle knife infundibulotomy due to the presence of unintended pancreatic cannulation in difficult biliary cannulation. Gut Liver 2015; 9: 534-539
- 86 Halttunen J, Keranen I, Udd M et al. Pancreatic sphincterotomy versus needle knife precut in difficult biliary cannulation. Surg Endosc 2009; 23: 745-749
- 87 Katsinelos P, Gkagkalis S, Chatzimavroudis G et al. Comparison of three types of precut technique to achieve common bile duct cannulation: a retrospective analysis of 274 cases. Dig Dis Sci 2012; 57: 3286-3292
- 88 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 2010; 14: 697-704
- 89 Kohler A, Maier M, Benz C et al. A new HF current generator with automatically controlled system (Endocut mode) for endoscopic sphincterotomy – preliminary experience. Endoscopy 1998; 30: 351-355
- 90 Akiho H, Sumida Y, Akahoshi K et al. Safety advantage of endocut mode over endoscopic sphincterotomy for choledocholithiasis. World J Gastroenterol 2006; 12: 2086-2018
- 91 Perini RF, Sadurski R, Cotton PB et al. Post-sphincterotomy bleeding after the introduction of microprocessor controlled electrosurgery: does the new technology make the difference?. Gastrointest Endosc 2005; 61: 53-57
- 92 Tanaka Y, Sato K, Tsuchida H et al. A prospective randomized controlled study of endoscopic sphincterotomy with the endocut mode or conventional blended cut mode. J Clin Gastroenterol 2015; 49: 127-131
- 93 Parlak E, Koksal AS, Ozlas E et al. Is there a safer electrosurgical current for endoscopic sphincterotomy in patients with liver cirrhosis?. Wien Klin Wochenschr 2015; DOI: 10.1007/s00508-014-0677-3.
- 94 Stefanidis G, Karamanolis G, Viazis N et al. A comparative study of postendoscopic sphincterotomy complications with various types of electrosurgical current in patients with choledocholithiasis. Gastrointest Endosc 2003; 57: 192-197
- 95 Elta GH, Barnett JL, Wille RT et al. Pure cut electrocautery current for sphincterotomy causes less post-procedure pancreatitis than blended current. Gastrointest Endosc 1998; 47: 149-153
- 96 Macintosh DG, Love J, Abraham NS. Endoscopic sphincterotomy by using pure-cut electrosurgical current and the risk of post-ERCP pancreatitis: a prospective randomized trial. Gastrointest Endosc 2004; 60: 551-556
- 97 Norton ID, Petersen BT, Bosco J et al. A randomized trial of endoscopic biliary sphincterotomy using pure-cut versus combined cut and coagulation waveforms. Clin Gastroenterol Hepatol 2005; 3: 1029-1033
- 98 Gorelick A, Cannon M, Barnett J et al. First cut, then blend: an electrocautery technique affecting bleeding at sphincterotomy. Endoscopy 2001; 33: 976-980
- 99 Verma D, Kapadia A, Adler DG. Pure versus mixed electrosurgical current for endoscopic biliary sphincterotomy: a meta-analysis of adverse outcomes. Gastrointest Endosc 2007; 66: 283-290
- 100 Liao W-C, Tu Y-K, Wu M-S et al. Balloon dilation with adequate duration is safer than sphincterotomy for extracting bile duct stones: a systematic review and meta-analyses. Clin Gastroenterol Hepatol 2012; 10: 1101-1109
- 101 Liu Y, Su P, Lin S et al. Endoscopic papillary balloon dilatation versus endoscopic sphincterotomy in the treatment for choledocholithiasis: a meta-analysis. J Gastroenterol Hepatol 2012; 27: 464-461
- 102 Zhao H-C. Meta-analysis comparison of endoscopic papillary balloon dilatation and endoscopic sphincteropapillotomy. World J Gastroenterol 2013; 19: 3883-3891
- 103 Liao W-C, Lee C-T, Chang C-Y et al. Randomized trial of 1-minute versus 5-minute endoscopic balloon dilation for extraction of bile duct stones. Gastrointest Endosc 2010; 72: 1154-1162
- 104 Isayama H, Komatsu Y, Inoue Y et al. Preserved function of the Oddi sphincter after endoscopic papillary balloon dilation. Hepatogastroenterology 2003; 50: 1787-1791
- 105 Disario JA, Freeman ML, Bjorkman DJ et al. Endoscopic balloon dilation compared with sphincterotomy for extraction of bile duct stones. Gastroenterology 2004; 127: 1291-1299
- 106 Fujita N, Maguchi H, Komatsu Y et al. Endoscopic sphincterotomy and endoscopic papillary balloon dilatation for bile duct stones: A prospective randomized controlled multicenter trial. Gastrointest Endosc 2003; 57: 151-155
- 107 Seo YR, Moon JH, Choi HJ et al. Comparison of endoscopic papillary balloon dilation and sphincterotomy in young patients with CBD stones and gallstones. Dig Dis Sci 2014; 59: 1042-1047
- 108 Oh MJ, Kim TN. Prospective comparative study of endoscopic papillary large balloon dilation and endoscopic sphincterotomy for removal of large bile duct stones in patients above 45 years of age. Scand J Gastroenterol 2012; 47: 1071-1077
- 109 Lin CK, Lai KH, Chan HH et al. Endoscopic balloon dilatation is a safe method in the management of common bile duct stones. Dig Liver Dis 2004; 36: 68-72
- 110 Vlavianos P, Chopra K, Mandalia S et al. Endoscopic balloon dilatation versus endoscopic sphincterotomy for the removal of bile duct stones: a prospective randomised trial. Gut 2003; 52: 1165-1169
- 111 Minakari M, Samani RR, Shavakhi A et al. Endoscopic papillary balloon dilatation in comparison with endoscopic sphincterotomy for the treatment of large common bile duct stone. Adv Biomed Res 2013; 2: 46 DOI: 10.4103/2277-9175.114186.
- 112 Arnold JC, Benz C, Martin WR et al. Endoscopic papillary balloon dilation vs. sphincterotomy for removal of common bile duct stones: a prospective randomized pilot study. Endoscopy 2001; 33: 563-567
- 113 Bergman JJ, Rauws EA, Fockens P et al. Randomised trial of endoscopic balloon dilation versus endoscopic sphincterotomy for removal of bileduct stones. Lancet 1997; 349: 1124-9
- 114 Minami A, Nakatsu T, Uchida N et al. Papillary dilation vs sphincterotomy in endoscopic removal of bile duct stones. A randomized trial with manometric function. Dig Dis Sci 1995; 40: 2550-2554
- 115 Natsui M, Narisawa R, Motoyama H et al. What is an appropriate indication for endoscopic papillary balloon dilation?. Eur J Gastroenterol Hepatol 2002; 14: 635-640
- 116 Ochi Y, Mukawa K, Kiyosawa K et al. Comparing the treatment outcomes of endoscopic papillary dilation and endoscopic sphincterotomy for removal of bile duct stones. J Gastroenterol Hepatol 1999; 14: 90-96
- 117 Tanaka S, Sawayama T, Yoshioka T. Endoscopic papillary balloon dilation and endoscopic sphincterotomy for bile duct stones: long-term outcomes in a prospective randomized controlled trial. Gastrointest Endosc 2004; 59: 614-618
- 118 Yasuda I, Tomita E, Enya M et al. Can endoscopic papillary balloon dilation really preserve sphincter of Oddi function?. Gut 2001; 49: 686-691
- 119 Aiura K, Kitagawa Y. Current status of endoscopic papillary balloon dilation for the treatment of bile duct stones. J Hepatobiliary Pancreat Sci 2011; 18: 339-345
- 120 Baron TH, Harewood GC. Endoscopic balloon dilation of the biliary sphincter compared to endoscopic biliary sphincterotomy for removal of common bile duct stones during ERCP: a metaanalysis of randomized, controlled trials. Am J Gastroenterol 2004; 99: 1455-1460
- 121 Weinberg BM, Shindy W, Lo S. Endoscopic balloon sphincter dilation (sphincteroplasty) versus sphincterotomy for common bile duct stones. Cochrane Database Syst Rev 2006; Oct 18; (4) CD004890
- 122 Mac Mathuna P, Siegenberg D, Gibbons D et al. The acute and long-term effect of balloon sphincteroplasty on papillary structure in pigs. Gastrointest Endosc 1996; 44: 650-655
- 123 Natsui M, Saito Y, Abe S et al. Long-term outcomes of endoscopic papillary balloon dilation and endoscopic sphincterotomy for bile duct stones. Dig Endosc 2013; 25: 313-321
- 124 Doi S, Yasuda I, Mukai T et al. Comparison of long-term outcomes after endoscopic sphincterotomy versus endoscopic papillary balloon dilation: a propensity score-based cohort analysis. J Gastroenterol 2012; 48: 1090-1096
- 125 Akbar A, Abu Dayyeh BK, Baron TH et al. Rectal nonsteroidal anti-inflammatory drugs are superior to pancreatic duct stents in preventing pancreatitis after endoscopic retrograde cholangiopancreatography: a network meta-analysis. Clin Gastroenterol Hepatol 2013; 11: 778-783
- 126 Aizawa T, Ueno N. Stent placement in the pancreatic duct prevents pancreatitis after endoscopic sphincter dilation for removal of bile duct stones. Gastrointest Endosc 2001; 54: 209-213
- 127 Delhaye M, Matos C, Devière J. Endoscopic management of chronic pancreatitis. Gastrointest Endosc Clin N Am 2003; 13: 717-742
- 128 Bakman Y, Freeman ML. Update on biliary and pancreatic sphincterotomy. Curr Opin Gastroenterol 2012; 28: 420-426
- 129 Buscaglia JM, Kalloo AN. Pancreatic sphincterotomy: technique, indications, and complications. World J Gastroenterol 2007; 13: 4064-4071
- 130 Brugge WR. Endoscopic approach to the diagnosis and treatment of pancreatic disease. Curr Opin Gastroenterol 2013; 29: 559-565
- 131 Cotton PB, Durkalski V, Romagnuolo J et al. Effect of endoscopic sphincterotomy for suspected sphincter of Oddi dysfunction on pain-related disability following cholecystectomy: the EPISOD randomized clinical trial. JAMA 2014; 311: 2101-2109
- 132 Kozarek RA, Ball TJ, Patterson DJ et al. Endoscopic pancreatic duct sphincterotomy: indications, technique, and analysis of results. Gastrointest Endosc 1994; 40: 592-598
- 133 Cremer M, Devière J, Delhaye M et al. Stenting in severe chronic pancreatitis: results of medium-term follow-up in seventy-six patients. Endoscopy 1991; 23: 171-176
- 134 Kim MH, Myung SJ, Kim YS et al. Routine biliary sphincterotomy may not be indispensable for endoscopic pancreatic sphincterotomy. Endoscopy 1998; 30: 697-701
- 135 Jakobs R, Reimann JF. Is there a need for dual sphincterotomy in patients with chronic pancreatitis?. Endoscopy 2003; 35: 250-251
- 136 Boix J, Lorenzo-Zuniga V, Ananos F et al. Impact of periampullary duodenal diverticula at endoscopic retrograde cholangiopancreatography: a proposed classification of periampullary duodenal diverticula. Surg Laparosc Endosc Percutan Tech 2006; 16: 208-211
- 137 Egawa N, Anjiki H, Takuma K et al. Juxtapapillary duodenal diverticula and pancreatobiliary disease. Dig Surg 2010; 27: 105-109
- 138 Cappell MS, Mogrovejo E, Manickam P et al. Endoclips to facilitate cannulation and sphincterotomy during ERCP in a patient with an ampulla within a large duodenal diverticulum: case report and literature review. Dig Dis Sci 2015; 60: 168-173
- 139 Fogel EL, Sherman S, Lehman GA. Increased selective biliary cannulation rates in the setting of periampullary diverticula: main pancreatic duct stent placement followed by pre-cut biliary sphincterotomy. Gastrointest Endosc 1998; 47: 396-400
- 140 Park CS, Park CH, Koh HR et al. Needle-knife fistulotomy in patients with periampullary diverticula and difficult bile duct cannulation. J Gastroenterol Hepatol 2012; 27: 1480-1483
- 141 Myung DS, Park CH, Koh HR et al. Cap-assisted ERCP in patients with difficult cannulation due to periampullary diverticulum. Endoscopy 2014; 46: 352-355
- 142 Vaira D, Dowsett JF, Hatfield AR et al. Is duodenal diverticulum a risk factor for sphincterotomy?. Gut 1989; 30: 39-42
- 143 Tham TC, Kelly M. Association of periampullary duodenal diverticula with bile duct stones and with technical success of endoscopic retrograde cholangiopancreatography. Endoscopy 2004; 36: 1050-1053
- 144 Liao WC, Huang SP, Wu MS et al. Comparison of endoscopic papillary balloon dilatation and sphincterotomy for lithotripsy in difficult sphincterotomy. J Clin Gastroenterol 2008; 42: 295-299
- 145 Kim HW, Kang DH, Choi CW et al. Limited endoscopic sphincterotomy plus large balloon dilation for choledocholithiasis with periampullary diverticula. World J Gastroenterol 2010; 16: 4335-4340
- 146 Kim KY, Han J, Kim HG et al. Late complications and stone recurrence rates after bile duct stone removal by endoscopic sphincterotomy and large balloon dilation are similar to those after endoscopic sphincterotomy alone. Clin Endosc 2013; 46: 637-642
- 147 Kirk AP, Summerfield JA. Incidence and significance of juxtapapillary diverticula at endoscopic retrograde cholangiopancreatography. Digestion 1980; 20: 31-35
- 148 Chang-Chien CS. Do juxtapapillary diverticula of the duodenum interfere with cannulation at endoscopic retrograde cholangiopancreatography? A prospective study. Gastrointest Endosc 1987; 33: 298-300
- 149 Katsinelos P, Chatzimavroudis G, Tziomalos K et al. Impact of periampullary diverticula on the outcome and fluoroscopy time in endoscopic retrograde cholangiopancreatography. Hepatobiliary Pancreat Dis Int 2013; 12: 408-414
- 150 Panteris V, Vezakis A, Filippou G et al. Influence of juxtapapillary diverticula on the success or difficulty of cannulation and complication rate. Gastrointest Endosc 2008; 68: 903-910
- 151 Tyagi P, Sharma P, Sharma BC et al. Periampullary diverticula and technical success of endoscopic retrograde cholangiopancreatography. Surg Endosc 2009; 23: 1342-1345
- 152 Mohammad Alizadeh AH, Afzali ES, Shahnazi A et al. ERCP features and outcome in patients with periampullary duodenal diverticulum. ISRN Gastroenterol 2013; DOI: 10.1155/2013/217261.
- 153 Balik E, Eren T, Keskin M et al. Parameters that may be used for predicting failure during endoscopic retrograde cholangiopancreatography. J Oncol 2013; DOI: 10.1155/2013/201681.
- 154 Williams EJ, Ogollah R, Thomas P et al. What predicts failed cannulation and therapy at ERCP? Results of a large-scale multicenter analysis. Endoscopy 2012; 44: 674-683
- 155 Williams EJ, Taylor S, Fairclough P et al. Risk factors for complication following ERCP; results of a large-scale, prospective multicenter study. Endoscopy 2007; 39: 793-801
- 156 Wang P, Li ZS, Liu F et al. Risk factors for ERCP-related complications: a prospective multicenter study. Am J Gastroenterol 2009; 104: 31-40
- 157 DiMagno MJ, Wamsteker EJ. Pancreas divisum. Curr Gastroenterol Rep 2011; 13: 150-156
- 158 Fogel EL, Toth TG, Lehman GA et al. Does endoscopic therapy favorably affect the outcome of patients who have recurrent acute pancreatitis and pancreas divisum?. Pancreas 2007; 34: 21-45
- 159 Devereaux BM, Fein S, Purich E et al. A new synthetic porcine secretin for facilitation of cannulation of the dorsal pancreatic duct at ERCP in patients with pancreas divisum: a multicenter, randomized, double-blind comparative study. Gastrointest Endosc 2003; 57: 643-647
- 160 Park SH, de Bellis M, McHenry L et al. Use of methylene blue to identify the minor papilla or its orifice in patients with pancreas divisum. Gastrointest Endosc 2003; 57: 358-363
- 161 Cai Q, Keilin S, Obideen K et al. Intraduodenal hydrochloric acid infusion for facilitation of cannulation of the dorsal pancreatic duct at ERCP in patients with pancreas divisum: a preliminary study. Am J Gastroenterol 2010; 105: 1450-1451
- 162 Alazmi WM, Mosler P, Watkins JL et al. Predicting pancreas divisum by inspection of the minor papilla: a prospective study. J Clin Gastroenterol 2007; 41: 422-426
- 163 Lawrence C, Stefan AM, Howell DA. Endoscopic appearance of the minor papilla predicts findings at pancreatography. Dig Dis Sci 2010; 55: 2412-2416
- 164 Matos C, Metens T, Devière J et al. Pancreas divisum: evaluation with secretin-enhanced magnetic resonance cholangiopancreatography. Gastrointest Endosc 2001; 53: 728-733
- 165 Attwell A, Borak G, Hawes R et al. Endoscopic pancreatic sphincterotomy for pancreas divisum by using a needle-knife or standard pull-type technique: safety and reintervention rates. Gastrointest Endosc 2006; 64: 705-711
- 166 Maple JT, Keswani RN, Edmundowicz SA et al. Wire-assisted access sphincterotomy of the minor papilla. Gastrointest Endosc 2009; 69: 47-54
- 167 Yamamoto N, Isayama H, Sasahira N et al. Endoscopic minor papilla balloon dilation for the treatment of symptomatic pancreas divisum. Pancreas 2014; 43: 927-930
- 168 Basso N, Pizzuto G, Surgo D et al. Laparoscopic cholecystectomy and intraoperative endoscopic sphincterotomy in the treatment of cholecysto-choledocholithiasis. Gastrointest Endosc 1999; 50: 532-535
- 169 Nakajima H, Okubo H, Masuko Y et al. Intraoperative endoscopic sphincterotomy during laparoscopic cholecystectomy. Endoscopy 1996; 28: 264
- 170 Lella F, Bagnolo F, Rebuffat C et al. Use of the laparoscopic-endoscopic approach, the so-called “rendezvous” technique, in cholecystocholedocholithiasis: a valid method in cases with patient-related risk factors for post-ERCP pancreatitis. Surg Endosc 2006; 20: 419-423
- 171 Tzovaras G, Baloyiannis I, Zachari E et al. Laparoendoscopic rendezvous versus preoperative ERCP and laparoscopic cholecystectomy for the management of cholecysto-choledocholithiasis: interim analysis of a controlled randomized trial. Ann Surg 2012; 255: 435-439
- 172 Morino M, Baracchi F, Miglietta C et al. Preoperative endoscopic sphincterotomy versus laparoendoscopic rendezvous in patients with gallbladder and bile duct stones. Ann Surg 2006; 244: 889-896
- 173 Rábago LR, Vicente C, Soler F et al. Two-stage treatment with preoperative endoscopic retrograde cholangiopancreatography (ERCP) compared with single-stage treatment with intraoperative ERCP for patients with symptomatic cholelithiasis with possible choledocholithiasis. Endoscopy 2006; 38: 779-786
- 174 El Geidie AA, ElEbidy GK, Naeem YM. Preoperative versus intraoperative endoscopic sphincterotomy for management of common bile duct stones. Surg Endosc 2011; 25: 1230-1237
- 175 Wang B, Guo Z, Liu Z et al. Preoperative versus intraoperative endoscopic sphincterotomy in patients with gallbladder and suspected common bile duct stones: system review and meta-analysis. Surg Endosc 2013; 27: 2454-2465
- 176 Arezzo A, Vettoretto N, Famiglietti F et al. Laparoendoscopic rendezvous reduces perioperative morbidity and risk of pancreatitis. Surg Endosc 2013; 27: 1055-1060
- 177 Gurusamy K, Sahay SJ, Burroughs AK et al. Systematic review and meta-analysis of intraoperative versus preoperative endoscopic sphincterotomy in patients with gallbladder and suspected common bile duct stones. Br J Surg 2011; 98: 908-916
- 178 Nagaraja V, Eslick GD, Cox MR. Systematic review and meta-analysis of minimally invasive techniques for the management of cholecysto-choledocholithiasis. Hepatobiliary Pancreat Sci 2014; 21: 896-901
- 179 Leng J-J, Zhang N, Dong J-H. Percutaneous transhepatic and endoscopic biliary drainage for malignant biliary tract obstruction: a meta-analysis. World J Surg Oncol 2014; 12: 272
- 180 Fabbri C, Luigiano C, Lisotti A et al. Endoscopic ultrasound-guided treatments: Are we getting evidence based – a systematic review. World J Gastroenterol 2014; 20: 8424-8448
- 181 Gupta K, Perez-Miranda M, Kahaleh M et al. Endoscopic ultrasound-assisted bile duct access and drainage: multicenter, long-term analysis of approach, outcomes, and complications of a technique in evolution. J. Clin Gastroenterol 2014; 48: 80-87
- 182 Artifon ELA, Aparicio D, Paione JB et al. Biliary drainage in patients with unresectable, malignant obstruction where ERCP fails: endoscopic ultrasonography-guided choledochoduodenostomy versus percutaneous drainage. J Clin Gastroenterol 2012; 46: 768-774
- 183 Khashab MA, Valeshabad AK, Afghani E et al. A comparative evaluation of EUS-guided biliary drainage and percutaneous drainage in patients with distal malignant biliary obstruction and failed ERCP. Dig Dis Sci 2015; 60: 557-565
- 184 Bapaye A, Dubale N, Aher A. Comparison of endosonography-guided vs. percutaneous biliary stenting when papilla is inaccessible for ERCP. United European Gastroenterol J 2013; 1: 285-293
- 185 Dhir V, Itoi T, Khashab MA et al. Multicenter comparative evaluation of endoscopic placement of expandable metal stents for malignant distal common bile duct obstruction by ERCP or EUS-guided approach. Gastrointest Endosc 2015; 81: 913-923
- 186 Kim MH, Lee SK, Lee MH et al. Endoscopic retrograde cholangiopancreatography and needle-knife sphincterotomy in patients with Billroth II gastrectomy: a comparative study of the forward-viewing endoscope and the side-viewing duodenoscope. Endoscopy 1997; 29: 82-85
- 187 Lin LF, Siauw CP, Ho KS et al. ERCP in post-Billroth II gastrectomy patients: emphasis on technique. Am J Gastroenterol 1999; 94: 144-148
- 188 Aabakken L, Holthe B, Sandstad O et al. Endoscopic pancreaticobiliary procedures in patients with a Billroth II resection: a 10-year follow-up study. Ital J Gastroenterol Hepatol 1998; 30: 301-305
- 189 Hintze RE, Veltzke W, Adler A et al. Endoscopic sphincterotomy using an S-shaped sphincterotome in patients with a Billroth II or Roux-en-Y gastrojejunostomy. Endoscopy 1997; 29: 74-78
- 190 Ciçek B, Parlak E, Dişibeyaz S et al. Endoscopic retrograde cholangiopancreatography in patients with Billroth II gastroenterostomy. J Gastroenterol Hepatol 2007; 22: 1210-1213
- 191 Bove V, Tringali A, Familiari P et al. ERCP in patients with prior Billroth II gastrectomy: report of 30 years’ experience. Endoscopy 2015; 47: 611-616
- 192 Jang HW, Lee KJ, Jung MJ et al. Endoscopic papillary large balloon dilatation alone is safe and effective for the treatment of difficult choledocholithiasis in cases of Billroth II gastrectomy: a single center experience. Dig Dis Sci 2013; 58: 1737-43
- 193 Cheng CL, Liu NJ, Tang JH et al. Double-balloon enteroscopy for ERCP in patients with Billroth II anatomy: results of a large series of papillary large-balloon dilation for biliary stone removal. Endosc Int Open 2015; 3: E216-E222
- 194 Shimatani M, Matsushita M, Takaoka M et al. Effective “short” double-balloon enteroscope for diagnostic and therapeutic ERCP in patients with altered gastrointestinal anatomy: a large case series. Endoscopy 2009; 41: 849-854
- 195 Itoi T, Ishii K, Sofuni A et al. Large balloon dilatation following endoscopic sphincterotomy using a balloon enteroscope for the bile duct stone extractions in patients with Roux-en-Y anastomosis. Dig Liver Dis 2011; 43: 237-241
- 196 Moreels TG. Altered anatomy: enteroscopy and ERCP procedures. Best Pract Clin Res Clin Gastroenterol 2012; 26: 347-357
- 197 Skinner M, Popa D, Neumann H et al. ERCP with the overtube-assisted enteroscopy technique: a systematic review. Endoscopy 2014; 46: 560-572