Transpancreatic Sphincterotomy Is Effective and Safe in Expert Hands on the Short Term.

ABSTRACT: In cases of difficult biliary cannulation, transpancreatic sphincterotomy (TPS) can be an alternative approach of biliary access. However, its success and safety profile have not been studied in detail. A systematic review and meta-analysis were performed to study the overall cannulation success and adverse events of TPS. These outcomes were also compared to other advanced cannulation methods. A systematic literature search was conducted to find all relevant articles containing data on TPS. Successful biliary cannulation and complications rates [post-ERCP pancreatitis (PEP), bleeding, and perforation rates] were compared in the pooled analyses of prospective comparative studies. The overall outcomes were calculated involving all studies on TPS. TPS was superior compared to needle-knife pre

SUBMITTER: Pecsi D 

PROVIDER: S-EPMC6704096 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature