Year 2025 / Volume 117 / Number 12
Letter
Transpancreatic sphincterotomy with double guidewire and pancreatic prothesis after involuntary passage of the guidewire to the pancreas during attempts at biliary cannulation

791-792

DOI: 10.17235/reed.2024.10826/2024

David Barquero Declara, Alejandro Blasco Pelicano, Alfredo Mata Bilbao,

Abstract
In this work we review the approach to difficult cannulation situations during ERCP. Among the known options to solve this problem, we suggest a technical variant that we believe can be useful to successfully complete ERCP with complication rates similar to a conventional ERCP, at least in our experience. To do this, we reviewed 1488 ERCPs and the 23 cases in which we applied this technical variant with its results and complications.
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References
Alberto P, Mariani A, Aabakken L, et al. Papillary cannulation and sphincterotomy techniques at ERCP: European Society of Gastointestinal Endscopy (ESGE) Clinical Guideline. Endoscopy 2016; 48:657-683.
Dumonceau JM, Andriulli A, Elmunzer BJ, et al. Prophylaxis of post-ERCP pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Updated June 2014.
De Tejada A, Calleja JL, Díaz G, et al. Double-guidewire technique for difficult bile duct cannulation: a multicenter randomized, controlled trial. Gastroint Endoscopy 2009; 70(4):700-709.
Kylänpää L, Koskensalo V, Saarela A, et al. Transpancreatic biliary sphincterotomy versus double guidewire in difficult biliary cannulation: a randomized controlled trial. Endoscopy 2021; 53(10): 1011-1019.
Yang M, Hwang J, Yoo B, et al. Wire-guided cannulation over a pancreatic stent versus double guidewire technique in patients with difficult biliary cannulation. BMC Gastroenterology 2015; 28:15:150.
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Citation tools
Barquero Declara D, Blasco Pelicano A, Mata Bilbao A. Transpancreatic sphincterotomy with double guidewire and pancreatic prothesis after involuntary passage of the guidewire to the pancreas during attempts at biliary cannulation. 10826/2024


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Publication history

Received: 26/09/2024

Accepted: 07/10/2024

Online First: 18/10/2024

Published: 12/12/2025

Article revision time: 10 days

Article Online First time: 22 days

Article editing time: 442 days


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