Precut sphincterotomy: A reliable salvage for difficult biliary cannulation

Even experienced endoscopists have 90% success in achieving deep biliary cannulation with standard methods. Biliary cannulation may become difficult in 10%-15% of patients with biliary obstruction and precut (access) sphincterotomy is frequently chosen as a rescue treatment in these cases. Generally, precut sphincterotomy ensures a rate of 90%-100% successful deep biliary cannulation. The precut technique has been performed as either a fistulotomy with a needle knife sphincterotome or as a transpapillary septotomy with a standard sphincterotome. Both methods have similar efficacy and complication rates when administered to the proper patient. Although precut sphincterotomy ensures over 90% success of biliary cannulation, it has been characterized as an independent risk factor for pancreatitis. The complications of the precut technique are not limited to pancreatitis. Two more important ones, bleeding and perforation, are also reported in some publications as being observed more commonly than during standard sphincterotomy. It is also reported that precut sphincterotomy increases morbidity when performed in patients without dilatation of their biliary tract. Nevertheless, precut sphincterotomy is a good alternative as a rescue method in the setting of a failed standard cannulation method. This paper discusses the technical details, timing, efficacy and potential complications of precut sphincterotomy. (C) 2013 Baishideng. All rights reserved.

Dergi Adı WORLD JOURNAL OF GASTROENTEROLOGY
Dergi Cilt Bilgisi 19
Dergi Sayısı 1
Sayfalar 1 - 7
Yayın Yılı 2013
Eser Adı
[dc.title]
Precut sphincterotomy: A reliable salvage for difficult biliary cannulation
Yazar
[dc.contributor.author]
Saritas, Ulku
Yazar
[dc.contributor.author]
Ustundag, Yucel
Yazar
[dc.contributor.author]
Harmandar, Ferda
Yayıncı
[dc.publisher]
BAISHIDENG PUBLISHING GROUP INC
Yayın Türü
[dc.type]
editorial
Açıklama
[dc.description]
WOS: 000313199800001
Açıklama
[dc.description]
PubMed: 23326155
Özet
[dc.description.abstract]
Even experienced endoscopists have 90% success in achieving deep biliary cannulation with standard methods. Biliary cannulation may become difficult in 10%-15% of patients with biliary obstruction and precut (access) sphincterotomy is frequently chosen as a rescue treatment in these cases. Generally, precut sphincterotomy ensures a rate of 90%-100% successful deep biliary cannulation. The precut technique has been performed as either a fistulotomy with a needle knife sphincterotome or as a transpapillary septotomy with a standard sphincterotome. Both methods have similar efficacy and complication rates when administered to the proper patient. Although precut sphincterotomy ensures over 90% success of biliary cannulation, it has been characterized as an independent risk factor for pancreatitis. The complications of the precut technique are not limited to pancreatitis. Two more important ones, bleeding and perforation, are also reported in some publications as being observed more commonly than during standard sphincterotomy. It is also reported that precut sphincterotomy increases morbidity when performed in patients without dilatation of their biliary tract. Nevertheless, precut sphincterotomy is a good alternative as a rescue method in the setting of a failed standard cannulation method. This paper discusses the technical details, timing, efficacy and potential complications of precut sphincterotomy. (C) 2013 Baishideng. All rights reserved.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Yayın Yılı
[dc.date.issued]
2013
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Biliary cannulation
Konu Başlıkları
[dc.subject]
Salvage
Konu Başlıkları
[dc.subject]
Precut sphincterotomy
Konu Başlıkları
[dc.subject]
Needle knife
Konu Başlıkları
[dc.subject]
Transpancreatic septotomy
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
1007-9327
ISSN
[dc.identifier.issn]
2219-2840
İlk Sayfa Sayısı
[dc.identifier.startpage]
1
Son Sayfa Sayısı
[dc.identifier.endpage]
7
Dergi Adı
[dc.relation.journal]
WORLD JOURNAL OF GASTROENTEROLOGY
Dergi Sayısı
[dc.identifier.issue]
1
Dergi Cilt Bilgisi
[dc.identifier.volume]
19
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.3748/wjg.v19.i1.1
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3123
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09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
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11 Haziran 2024 03:27
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precut sphincterotomy cannulation biliary standard ensures rescue technique performed sphincterotome reported pancreatitis complications efficacy method success methods patients during reserved commonly observed publications important rights perforation bleeding discusses technical timing failed setting details limited alternative
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