Optimal timing for discontinuation of ERCP in cases of difficult selective biliary cannulation.

ABSTRACT:

Background and study aims

Prolonged cannulation during endoscopic retrograde cholangiopancreatography (ERCP) increases risk of complications, particularly post-ERCP pancreatitis (PEP). This study aimed to determine optimal timing to discontinue ERCP when selective biliary cannulation (SBC) cannot be easily achieved.

Patients and methods

Patients with naïve papilla who underwent ERCP between January 2021 and December 2021 were analyzed. The primary outcome was to determine optimal timing for discontinuing ERCP based on cannulation success rate and complication rate.

Results

A total of 272 patients with naïve papilla underwent ERCP. Trainees did not participate in any of the procedures. Median age was 71 years, and 152 patients (55.9%) were male. The most common indicat

SUBMITTER: Jeong HT 

PROVIDER: S-EPMC11996026 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature