Papillary fistulotomy vs conventional cannulation for endoscopic biliary access: A prospective randomized trial

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorFURUYA, Carlos Kiyoshi
dc.contributor.authorSAKAI, Paulo
dc.contributor.authorMARINHO, Fabio Ramalho Tavares
dc.contributor.authorOTOCH, Jose Pinhata
dc.contributor.authorCHENG, Spencer
dc.contributor.authorPRUDENCIO, Livia Lemes
dc.contributor.authorMOURA, Eduardo Guimaraes Hourneaux de
dc.contributor.authorARTIFON, Everson Luiz de Almeida
dc.date.accessioned2018-07-05T18:02:59Z
dc.date.available2018-07-05T18:02:59Z
dc.date.issued2018
dc.description.abstractAIM To compare the cannulation success, biochemical profile, and complications of the papillary fistulotomy technique vs catheter and guidewire standard access. METHODS From July 2010 to May 2017, patients were prospectively randomized into two groups: Cannulation with a catheter and guidewire (Group.) and papillary fistulotomy (Group.). Amylase, lipase and C-reactive protein at T0, as well as 12 h and 24 h after endoscopic retrograde cholangiopancreatography, and complications (pancreatitis, bleeding, perforation) were recorded. RESULTS We included 102 patients (66 females and 36 males, mean age 59.11 +/- 18.7 years). Group. and Group. had 51 patients each. The successful cannulation rates were 76.5% and 100%, respectively (P = 0.0002). Twelve patients (23.5%) in Group. had a difficult cannulation and underwent fistulotomy, which led to successful secondary biliary access (Failure Group). The complication rate was 13.7% (2 perforations and 5 mild pancreatitis) vs 2.0% (1 patient with perforation and pancreatitis) in Groups. and., respectively (P = 0.0597). CONCLUSION Papillary fistulotomy was more effective than guidewire cannulation, and it was associated with a lower profile of amylase and lipase. Complications were similar in both groups.
dc.description.indexMEDLINE
dc.identifier.citationWORLD JOURNAL OF GASTROENTEROLOGY, v.24, n.16, p.1803-1811, 2018
dc.identifier.doi10.3748/wjg.v24.i16.1803
dc.identifier.eissn2219-2840
dc.identifier.issn1007-9327
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/26963
dc.language.isoeng
dc.publisherBAISHIDENG PUBLISHING GROUP INC
dc.relation.ispartofWorld Journal of Gastroenterology
dc.rightsrestrictedAccess
dc.rights.holderCopyright BAISHIDENG PUBLISHING GROUP INC
dc.subjectCatheterization
dc.subjectComplications
dc.subjectEndoscopic retrograde cholangiopancreatography
dc.subjectTherapeutic use
dc.subjectCommon bile duct
dc.subject.otherpost-ercp pancreatitis
dc.subject.otherneedle-knife fistulotomy
dc.subject.othercommon bile-duct
dc.subject.otherearly precut sphincterotomy
dc.subject.otherretrograde cholangiopancreatography
dc.subject.otherrisk-factors
dc.subject.otherstandard
dc.subject.othermetaanalysis
dc.subject.othermulticenter
dc.subject.otherpapillotomy
dc.subject.wosGastroenterology & Hepatology
dc.titlePapillary fistulotomy vs conventional cannulation for endoscopic biliary access: A prospective randomized trial
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.citation.scopus11
hcfmusp.contributor.author-fmusphcCARLOS KIYOSHI FURUYA JUNIOR
hcfmusp.contributor.author-fmusphcPAULO SAKAI
hcfmusp.contributor.author-fmusphcFABIO RAMALHO TAVARES MARINHO
hcfmusp.contributor.author-fmusphcJOSE PINHATA OTOCH
hcfmusp.contributor.author-fmusphcSPENCER CHENG
hcfmusp.contributor.author-fmusphcLIVIA LEMES PRUDENCIO AZEVEDO
hcfmusp.contributor.author-fmusphcEDUARDO GUIMARAES HOURNEAUX DE MOURA
hcfmusp.contributor.author-fmusphcEVERSON LUIZ DE ALMEIDA ARTIFON
hcfmusp.description.beginpage1803
hcfmusp.description.endpage1811
hcfmusp.description.issue16
hcfmusp.description.volume24
hcfmusp.origemWOS
hcfmusp.origem.pubmed29713133
hcfmusp.origem.scopus2-s2.0-85046116892
hcfmusp.origem.wosWOS:000431233600009
hcfmusp.publisher.cityPLEASANTON
hcfmusp.publisher.countryUSA
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