{"id":11095,"date":"2021-10-17T14:45:57","date_gmt":"2021-10-17T12:45:57","guid":{"rendered":"https:\/\/www.endoscopy-campus.com\/?post_type=ec-news&#038;p=11095"},"modified":"2021-10-17T14:45:58","modified_gmt":"2021-10-17T12:45:58","slug":"incision-improves-success-and-safety-for-difficult-biliary-access-compared-with-wire-or-stent-guided-entry","status":"publish","type":"ec-news","link":"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/incision-improves-success-and-safety-for-difficult-biliary-access-compared-with-wire-or-stent-guided-entry\/","title":{"rendered":"Incision Improves Success and Safety for Difficult Biliary Access Compared With Wire- or Stent-Guided Entry"},"content":{"rendered":"\n<p>A variety of techniques have been described for achieving deep biliary cannulation, a necessary prelude to most endoscopic retrograde cholangiographic (ERCP) procedures. The rate of successful cannulation is commonly touted as a useful quality measure.&nbsp;&nbsp;<\/p>\n\n\n\n<p>The authors of this study performed a network meta-analysis of 17 randomized studies comprised of 2015 patients to identify the relative efficacy of 5 adjunctive techniques: persistence with standard techniques (PSTs), needle-knife sphincterotomy (NKS), transpancreatic sphincterotomy (TPS), pancreatic guidewire-assisted cannulation, and pancreatic stent-assisted cannulation.<\/p>\n\n\n\n<p>Despite the low quality of evidence among the studies, by GRADE criteria, the success of difficult biliary cannulation using TPS was superior to all other techniques, with NKS a close second. Post-ERCP pancreatitis (PEP) was lowest with NKS, and both NKS and TPS minimized PEP compared with PST or either technique with wire or stent assistance.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A variety of techniques have been described for achieving deep biliary cannulation, a necessary prelude to most endoscopic retrograde cholangiographic (ERCP) procedures. The rate of successful cannulation is commonly touted as a useful quality measure.&nbsp;&nbsp; The authors of this study performed a network meta-analysis of 17 randomized studies comprised of 2015 patients to identify the &#8230; <a title=\"Incision Improves Success and Safety for Difficult Biliary Access Compared With Wire- or Stent-Guided Entry\" class=\"read-more\" href=\"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/incision-improves-success-and-safety-for-difficult-biliary-access-compared-with-wire-or-stent-guided-entry\/\" aria-label=\"Read more about Incision Improves Success and Safety for Difficult Biliary Access Compared With Wire- or Stent-Guided Entry\">Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,67],"tags":[2992,381,2995,2998,2996,2128,2993,2994,3000,2999],"class_list":["post-11095","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-bauchspeicheldruese-pankreas","tag-endoscopic-retrograde-procedures","tag-ercp","tag-needle-knife-sphincterotomy","tag-needle-knife-sphincterotomy-nks","tag-nks","tag-pancreatobiliary","tag-persistence-with-standard-techniques","tag-psts","tag-tps","tag-transpancreatic-sphincterotomy"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/11095","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=11095"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=11095"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=11095"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}