Health Condition 1: K839- Disease of biliary tract, unspecified
Conditions
Interventions
Intervention1: Precut Sphincterotomy: In this technique, a free hand incision is made using needle knife sphincterotome, starting to give incision over the previously placed pancreatic duct stent. Thi
Sponsors
Jayanta Samanta
Eligibility
Inclusion criteria
Inclusion criteria: Benign or malignant biliary disease with naive papilla who require therapeutic ERCP Distal extrahepatic biliary obstruction All patients with difficult biliary cannulation, defined as per ESGE guideline with more than one inadvertent pancreatic duct cannulation or opacification The patient who gives informed consent for participation in the study
Exclusion criteria
Exclusion criteria: Previously sphincteromized papilla Difficult biliary cannulation defined as per ESGE guidelines who have more than 5 contact with papilla while attempting to cannulate or more than 5 minutes spent to cannulate following visualisation of the papilla Past history of post-ERCP pancreatitis Chronic pancreatitis Cases where pancreatic stent was placed for therapeutic intent like pancreatic leak or PD stricture Patients supposed to undergo ampullectomy Pregnant patients Unstable clinical conditions or any contraindication for ERCP Lack of informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Technical success of the endoscopic procedureTimepoint: At the time of index procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| Rates of post ERCP pancreatitis (PEP) Overall adverse events rates Time taken for the procedure Radiation exposure Hospital stay Need of second salvage procedure or PTBD or surgery after failure of first salvage technique Timepoint: at 2 weeks and 1 month post endoscopic intervention | — |
Countries
India
Contacts
Public ContactJayanta Samanta
Postgraduate Institute of Medical Education and Research
Outcome results
None listed