Precut sphincterotomy, repeated cannulation and post-ERCP pancreatitis in patients with bile duct stone disease

Pier Alberto Testoni, Antonella Giussani, Cristian Vailati, Sabrina Testoni, Milena Di Leo, Alberto Mariani

Research output: Contribution to journalArticle

Abstract

Background: Repeated attempts at cannulating the papilla of Vater and "needle-knife" precut sphincterotomy are independent risk factors for post-ERCP pancreatitis. Whether precut alone or repeated attempts at cannulation is the culprit factor in the development of post-ERCP pancreatitis remains controversial. Aim: To retrospectively assess the role of precutting and multiple cannulation in the occurrence of post-ERCP pancreatitis in a consecutive series of patients with bile stone disease. Methods: 2004 patients who had undergone endoscopic retrograde cholangio-pancreatography over a 9-year period for bile stones were evaluated. Pancreatitis rate was assessed in relation to the number of cannulation attempts (

Original languageEnglish
Pages (from-to)792-796
Number of pages5
JournalDigestive and Liver Disease
Volume43
Issue number10
DOIs
Publication statusPublished - Oct 2011

Keywords

  • "Needle-knife" precut sphincterotomy
  • Post-ERCP pancreatitis
  • Repeated attempts at cannulating the papilla of Vater

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology

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