Fistulotomy-First Approach is Safe and Effective in Endoscopic Retrograde Cholangiography: Results of a Prospective Case Series.

ABSTRACT:

Background and aims

The aim of this study was to assess the safety and efficacy of using needle-knife fistulotomy (NKF) as a primary cannulation technique in patients undergoing endoscopic retrograde cholangiopancreatography (ERCP) with a native papilla.

Patients and methods

This prospective feasibility study enrolled 50 patients between December 2018 and June 2019. The procedure was performed by two expert endoscopists (R.B. and L.H.). The primary outcome was the incidence of post-ERCP pancreatitis. Other variables assessed included the success rate of cannulation of the common bile duct (CBD), time to successful cannulation, and incidence of adverse events.

Results

Between December 2018 and June 2019, 50 patients enrolled in the study. The mean age was 63.4 years (s

SUBMITTER: Hnaris K 

PROVIDER: S-EPMC8320265 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature