101. Guide-Wire versus Conventional Contrast Cannulation of the Common Bile Duct for the Prevention of Post-ERCP Pancreatitis in Patients with Choledocholithiasis.
- Author
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Trifan, Anca, Sfarti, Catalin, Cretu, Maria, Cojocariu, Camelia, Hutanasu, Catalin, Singeap, Ana-Maria, Dimache, Mihaela, and Stanciu, Carol
- Subjects
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PANCREATIC duct , *CHOLANGIOCARCINOMA , *CATHETERIZATION , *ENDOSCOPIC retrograde cholangiopancreatography , *PANCREATITIS , *THERAPEUTICS , *DIAGNOSIS , *PREVENTION , *DISEASES - Abstract
Background. Inadvertent injection of a contrast agent into the pancreatic duct is an important contributor factor to post-ERCP pancreatitis. Aim. To compare the incidence of post-ERCP pancreatitis and the success rate of biliary cannulation using guide-wire cannulation or the standard contrast injection technique. Methods. A total of 128 patients with choledocholithiasis who underwent either guide-were cannulation (n=70) or contrast injection (n=58) were retrospectively reviewed. Outcome measurements were post-ERCP pancreatitis and rate of successful common bile duct (CBD) cannulation. Results. Three patients (4.3%) in the guide-wire cannulation group and five patients (8.6%) in the contrast injection group had post-ERCP pancreatitis (p>0.05). Successful CBD cannulation was achieved in 91.4% with guide-wire cannulation and in 88% with conventional contrast cannulation (p>0.05). Conclusion. Our study failed to show significant reduction in the rate of post-ERCP pancreatitis with the use of guide-wire, although there was a downward trend. The success rate of cannulation was comparable between the two techniques. [ABSTRACT FROM AUTHOR]
- Published
- 2011