Diseases for which ERC was attempted for the purpose of cholangiography
Conditions
Interventions
EUS-guided rendezvous technique for difficult biliary cannulation
Precut papillotomy as the standard salvage technique for difficult biliary cannulation
Sponsors
University of Toyama
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients age 18 years or older undergoing ERCP with indication for bile duct cannulation Native major papilla Difficult bile duct cannulation, defined by the presence of 1 of the following: 1) unsuccessful bile duct cannulation within 10 cannulation attempts, 2) unsuccessful bile duct cannulation within 10 minutes spent in cannulation, or 3) 2 unintended pancreatic duct cannulation or opacification with contrast Written informed consent available
Exclusion criteria
Exclusion criteria: Unable to provide written informed consent Contraindications for endoscopy due to comorbidities Prior biliary sphincterotomy Altered upper gastrointestinal or biliary anatomy or duodenal obstruction Common bile duct diameter < 6mm on pre-endoscopy imaging Papillary orifice not identifiable or accessible on endoscopic view before biliary cannulation Uncorrectable coagulopathy (INR > 1.5) and thrombocytopenia (platelet < 50,000) by blood product transfusion Pregnant patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The first session technical success for biliary access by EUS-guided rendezvous technique and early precut papillotomy in patients with difficult biliary access during ERCP | — |
Countries
Japan
Contacts
Public ContactNobuhiko Hayashi
University of Toyama Third department of internal medicine
Outcome results
None listed