Year 2021 / Volume 113 / Number 7
Original
Endoscopic retrograde cholangiopancreatography results three days after a failed pre-cut

486-489

DOI: 10.17235/reed.2020.7288/2020

Arecio Peñaloza Ramírez, Dumar Rodríguez Tello, Andrés Murillo Arias, Jonathan Barreto Pérez, Pedro Aponte Ordóñez,

Abstract
Introduction: deep cannulation of the common bile duct is essential in endoscopic retrograde cholangiopancreatography (ERCP). However, cannulation is not possible in approximately 20 % of the cases with the usual techniques. Pre-cutting is an alternative that allows cannulation in difficult cases although its success is not guaranteed. Repeating the ERCP within three days of a failed pre-cut is an acceptable option. Objective: to determine if an ERCP performed three days after a failed pre-cut papillotomy allows the bile duct to be cannulated without increasing complication rates. Patients and methods: patients who underwent an ERCP plus pre-cut were included, in whom the common bile duct could not be cannulated and who also underwent a new ERCP three days after the initial pre-cut. The primary objective was a successful biliary cannulation in the second ERCP and the secondary objective were the complications of the initial pre-cut. Results: forty patients with an average age of 65 years were identified and 57 % were male. The indications for ERCP were choledocholithiasis in 95 %, biliary fistula in 2.5 % and pancreatic neoplasia in 2.5 %. The ERCP was repeated three days later in 92.5 % of the cases and the biliary cannulation was successful in 78.3 %. Conclusions: a new ERCP performed within three days of a failed pre-cut is justifiable since it has a significant success rate. Bile duct cannulation is achieved in three out of four patients, with an acceptable percentage of complications.
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17/07/2023 0:39:09
Thansk for sahring, congrats for the paper. Greetings from Atlixco, Puebla MX.


21/08/2021 17:23:06
buenos soy tecnico de endoscopia de via biliar me parec muy interesante este articulo muchas gracias.


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Peñaloza Ramírez A, Rodríguez Tello D, Murillo Arias A, Barreto Pérez J, Aponte Ordóñez P. Endoscopic retrograde cholangiopancreatography results three days after a failed pre-cut . 7288/2020


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Publication history

Received: 22/05/2020

Accepted: 03/07/2020

Online First: 24/11/2020

Published: 07/07/2021

Article revision time: 14 days

Article Online First time: 186 days

Article editing time: 411 days


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