{"id":10977,"date":"2021-09-21T14:08:55","date_gmt":"2021-09-21T12:08:55","guid":{"rendered":"https:\/\/www.endoscopy-campus.com\/?post_type=ec-news&#038;p=10977"},"modified":"2021-09-21T14:08:56","modified_gmt":"2021-09-21T12:08:56","slug":"on-balance-benefit-of-sphincterotomy-for-biliary-stenting-appears-to-outweigh-the-risk","status":"publish","type":"ec-news","link":"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/on-balance-benefit-of-sphincterotomy-for-biliary-stenting-appears-to-outweigh-the-risk\/","title":{"rendered":"On Balance, Benefit of Sphincterotomy for Biliary Stenting Appears to Outweigh the Risk"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Limited reports have suggested that endoscopic biliary sphincterotomy (ES) at the time of transpapillary biliary stent placement may reduce the risk of post-ERCP pancreatitis (PEP). These investigators performed a randomized controlled trial at 26 centers to assess the incidence of PEP within 2 days of plastic endoscopic biliary stent or drain placement among patients assigned to ES (n=185) versus those assigned to no ES (n=185) prior to stent placement. Other adverse events attributable to biliary stenting within 30 days were also identified.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Overall, 43 patients (12%) experienced PEP, including 7 with a prior ES (3.9%; 5 mild, 2 severe) and 36 without prior ES (20.6%; 26 mild, 5 moderate, 5 severe) (<em>P<\/em>&lt;.001; 95% confidence interval, 10.1%-23.3%). This result was well beyond the predetermined 6% margin of noninferiority. Rates of cholangitis, cholecystitis, perforation, and recurrent biliary obstruction were not different, but bleeding was more common with ES (8 of 181 cases, 1 severe) than without (1 of 175 cases) (<em>P<\/em>=.048).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Limited reports have suggested that endoscopic biliary sphincterotomy (ES) at the time of transpapillary biliary stent placement may reduce the risk of post-ERCP pancreatitis (PEP). These investigators performed a randomized controlled trial at 26 centers to assess the incidence of PEP within 2 days of plastic endoscopic biliary stent or drain placement among patients assigned &#8230; <a title=\"On Balance, Benefit of Sphincterotomy for Biliary Stenting Appears to Outweigh the Risk\" class=\"read-more\" href=\"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/on-balance-benefit-of-sphincterotomy-for-biliary-stenting-appears-to-outweigh-the-risk\/\" aria-label=\"Read more about On Balance, Benefit of Sphincterotomy for Biliary Stenting Appears to Outweigh the Risk\">Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,67],"tags":[2959,2128,379,2958],"class_list":["post-10977","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-bauchspeicheldruese-pankreas","tag-endoscopic-biliary-sphincterotomy","tag-pancreatobiliary","tag-pep","tag-post-ercp-pancreatitis-2"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/10977","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=10977"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=10977"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=10977"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}