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Journal of Gastrointestinal Surgery

, Volume 14, Issue 4, pp 697–704 | Cite as

Success and Complication Rates of Two Precut Techniques, Transpancreatic Sphincterotomy and Needle-Knife Sphincterotomy for Bile Duct Cannulation

  • Peng Wang
  • Wei Zhang
  • Feng Liu
  • Zhao-Shen LiEmail author
  • Xu Ren
  • Zhi-Ning Fan
  • Xiao Zhang
  • Nong-Hua Lu
  • Wen-Sheng Sun
  • Rui-Hua Shi
  • Yan-Qing Li
  • Qiu Zhao
Original Article

Abstracts

Background

The majority of literature on the precut technique is concerned with needle-knife sphincterotomy, whereas the comparison of transpancreatic sphincterotomy and needle-knife sphincterotomy has been rarely reported.

Aim

The aim of the study was to compare the success and the complication rates of transpancreatic sphincterotomy with needle-knife sphincterotomy.

Methods

During May 2006 and April 2007, 3,178 consecutive endoscopic retrograde cholangiopancreatography (ERCP) procedures were performed in a prospective multicenter study on ERCP-related complications. From the files of these patients, data of cases undergoing precut sphincterotomy, including transpancreatic sphincterotomy and needle-knife sphincterotomy, were retrospectively extracted and analyzed.

Results

Overall, 216 patients with precut sphincterotomy were identified; 140 cases received transpancreatic sphincterotomy, and 76 received needle-knife sphincterotomy. There was no significant difference in the initial and eventual success rates between transpancreatic and needle-knife sphincterotomy (82.9% vs. 90.8% and 90.0% vs. 90.8%, respectively). The overall incidences of complications and acute pancreatitis were not significantly different between the two groups (14.3% vs. 18.4% and 11.4% vs. 11.8%, respectively).

Conclusions

Transpancreatic precut sphincterotomy results in similar success and complication rates when compared with needle-knife sphincterotomy. This new precut technique seems to be a safe alternative to needle-knife sphincterotomy with reasonable success rates. However, prospective randomized controlled studies are required to verify our findings.

Keywords

Transpancreatic sphincterotomy Needle-knife sphincterotomy Biliary cannulation Endoscopic retrograde cholangiopancreatography (ERCP) 

Notes

Acknowledgments

We would like to thank all those endoscopists and physicians who assisted in data collection. This study was partially supported by a grant from Boston Scientific Corporation, China.

Competing interests

None.

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Copyright information

© The Society for Surgery of the Alimentary Tract 2009

Authors and Affiliations

  • Peng Wang
    • 1
  • Wei Zhang
    • 1
  • Feng Liu
    • 1
  • Zhao-Shen Li
    • 1
    Email author
  • Xu Ren
    • 2
  • Zhi-Ning Fan
    • 3
  • Xiao Zhang
    • 4
  • Nong-Hua Lu
    • 5
  • Wen-Sheng Sun
    • 6
  • Rui-Hua Shi
    • 7
  • Yan-Qing Li
    • 8
  • Qiu Zhao
    • 9
  1. 1.Department of Gastroenterology, Changhai HospitalSecond Military Medical UniversityShanghaiChina
  2. 2.Heilongjiang Provincial HospitalHarbinChina
  3. 3.The Second Affiliated Hospital of Nanjing Medical UniversityNanjingChina
  4. 4.The First People’s Hospital of HangzhouHangzhouChina
  5. 5.The First Affiliated Hospital of Nanchang UniversityNanchangChina
  6. 6.Shandong Communication HospitalJinanChina
  7. 7.The First Affiliated Hospital of Nanjing Medical UniversityNanjingChina
  8. 8.Qilu HospitalShandong UniversityJinanChina
  9. 9.Tongji Hospital, Tongji Medical CollegeHuazhong University of Science & TechnologyWuhanChina

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