Double-guidewire technique for selective biliary cannulation does not increase the rate of post-endoscopic retrograde cholangiopancreatography pancreatitis in patients with naïve papilla.

IF 2.1 Q3 GASTROENTEROLOGY & HEPATOLOGY Clinical Endoscopy Pub Date : 2024-03-01 Epub Date: 2024-01-26 DOI:10.5946/ce.2023.128
Han Taek Jeong, June Hwa Bae, Ho Gak Kim, Jimin Han
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Abstract

Background/aims: This study aimed to compare the safety of the double-guidewire technique (DGT) with that of the conventional single-guidewire technique (SGT) in real-world situations.

Methods: A total of 240 patients with naïve papilla who underwent endoscopic retrograde cholangiopancreatography (ERCP) at Daegu Catholic University Medical Center between January 2021 and December 2021 were included. The primary outcome was the rate of post-ERCP pancreatitis (PEP) in the SGT and DGT groups.

Results: A total of 163 patients (67.9%) belonged to the SGT group, and 77 (32.1%) belonged to the DGT group. The rates of successful biliary cannulation were 95.7% and 83.1% in the SGT and DGT groups, respectively (p=0.002). In the study group, PEP occurred in 14 patients (5.8%). The PEP rates were not significantly different between the SGT and DGT groups (4.3% vs. 9.1%, p=0.150). In the multivariate analysis, the age of <50 years (odds ratio [OR], 9.305; 95% confidence interval [CI], 1.367-63.358; p=0.023) and hyperlipidemia (OR, 7.384; 95% CI, 1.103-49.424; p=0.039) were significant risk factors for PEP in the DGT group.

Conclusion: DGT did not increase the PEP rate in patients with naïve papilla. In addition, the age of <50 years and hyperlipidemia were significant risk factors for PEP in the DGT group.

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选择性胆道插管的双导管技术不会增加天真乳头患者内镜逆行胰胆管造影术后胰腺炎的发生率。
背景/目的:本研究旨在比较双导丝技术(DGT)与传统单导丝技术(SGT)在实际情况下的安全性:本研究旨在比较双导丝技术(DGT)和传统单导丝技术(SGT)在实际情况下的安全性:方法:共纳入了 2021 年 1 月至 2021 年 12 月期间在大邱天主教大学医疗中心接受内镜逆行胰胆管造影术(ERCP)的 240 例天生乳头患者。主要结果是SGT组和DGT组ERCP术后胰腺炎(PEP)的发生率:共有 163 名患者(67.9%)属于 SGT 组,77 名患者(32.1%)属于 DGT 组。SGT组和DGT组的胆道插管成功率分别为95.7%和83.1%(P=0.002)。研究组中有 14 名患者(5.8%)发生了 PEP。SGT组和DGT组的PEP率无明显差异(4.3% vs. 9.1%,P=0.150)。在多变量分析中,得出结论的年龄:DGT 并未增加幼稚乳头状瘤患者的 PEP 率。此外,DGT 组患者的
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来源期刊
Clinical Endoscopy
Clinical Endoscopy GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
4.40
自引率
8.00%
发文量
95
审稿时长
26 weeks
期刊最新文献
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