Pancreatitis
Conditions
Keywords
Guide wire cannulation ERCP, Time of cannulation, Rapid exchange guide wire, Guide wire
Brief summary
The aim of this study is to compare the cannulation time during primary wire guided ERCP (Endoscopic Retrograde Cholangio-Pancreatography) according to two different length of guide wire: long wire or short wire rapid exchange, artery by a prospective randomized trial.
Detailed description
In primary Endoscopic Retrograde Cholangio-Pancreatography (ERCP) cannulation is wire guided. Up to now there is no doubt about the efficacy of such a procedure. The use of long wire requires the help of another person behind primary operator. The use of short wire rapid exchange allows the primary operator to perform all the steps by himself. Time of cannulation is known to be directly associated to post ERCP pancreatitis. Aim of the study is to assess which length of guide wire allows the shorter cannulation time during primary ERCP. Post ERCP pancreatitis onset will be assessed for all patients
Interventions
Use of short guide wire rapid exchange to guide the cannulation during primary ERCP
Use of long wire to guide the cannulation during primary ERCP
Sponsors
Study design
Eligibility
Inclusion criteria
* indication to primary ERCP * ASA (American Society of Anesthesiologists) 1, 2, 3
Exclusion criteria
* pancreas neoplasia * pancreatitis * ampulloma * duodenum stenosis * under mucous membrane haematoma
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time of cannulation | 8 hours from intervention | Time (in seconds) required to perform a complete and successful deep cannulation of the "biliary papilla" and the biliary tree assessed by timing it and reporting it in the prefashioned database |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of post ERCP pancreatitis | 8 hours post ERCP | Incidence of post ERCP pancreatitis |
Countries
Italy
Contacts
Niguarda Ca' Granda Hospital
Niguarda Ca' Granda Hospital
Niguarda Ca' Granda Hospital