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Comparison between different advanced cannulation techniques for difficult biliary cannulation: a systematic review
Liangjing Wang1, Limin Wang2, Nan Huang3
1Department of Gastroenterology, Suzhou Hospital, Affiliated Hospital of Medical School, Nanjing University, Suzhou, China.
Frontiers in Medicine
|May 8, 2024
Summary
The double-guidewire technique improves difficult biliary cannulation success rates compared to standard methods but is less effective than transpancreatic sphincterotomy. Safety outcomes were comparable across techniques.
Area of Science:
- Gastroenterology
- Endoscopic Retrograde Cholangiopancreatography (ERCP)
Background:
- Difficult biliary cannulation is a common challenge during ERCP.
- Various techniques exist to improve cannulation success, each with potential benefits and risks.
Conclusions:
- The double-guidewire technique offers an improvement over standard methods for difficult biliary cannulation.
- Transpancreatic sphincterotomy appears to be the most effective technique for achieving cannulation success.
- The double-guidewire technique demonstrates comparable safety profiles regarding pancreatitis and complications to other evaluated methods.
