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Perforation of the Papilla of Vater in Wire-Guided Cannulation
Joint Authors
Yamamura, Eiichi
Takahashi, Hiroshi
Maruoka, Naotaka
Nagahama, Masatsugu
Takano, Yuichi
Source
Canadian Journal of Gastroenterology and Hepatology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-06-05
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
WGC in ERCP is considered a safe technique, although rare complications can occur.
One unique complication of WGC is the perforation of the papilla of Vater by the guidewire.
Subjects and Methods.
Of 2032 patients who underwent ERCP at our department between January 2010 and December 2014, we selected 208 patients who underwent WGC for naïve papilla as subjects.
A detailed examination of patients in whom a perforation occurred was conducted, and risk factors for perforations were investigated.
Results.
The perforation was observed in 7 of 208 patients (3.4%).
All patients recovered with conservative treatment without the need for surgery.
The perforation rate was significantly higher in the patients with juxtapapillary duodenal diverticula than those without diverticula (12.5% versus 0.6%, p < 0.001 ).
Cannulation of the bile duct was ultimately achieved in 5 of 7 patients; PSP was performed for 4 of these patients.
Conclusion.
Caution must be exercised when dealing with patients who have a juxtapapillary duodenal diverticula because they are at higher risk of perforations.
Because these are small perforations made by a wire, most of them heal with conservative treatment.
However, perforations can make cannulation difficult, and PSP may be useful for deep cannulation.
American Psychological Association (APA)
Takano, Yuichi& Nagahama, Masatsugu& Yamamura, Eiichi& Maruoka, Naotaka& Takahashi, Hiroshi. 2016. Perforation of the Papilla of Vater in Wire-Guided Cannulation. Canadian Journal of Gastroenterology and Hepatology،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1099894
Modern Language Association (MLA)
Takano, Yuichi…[et al.]. Perforation of the Papilla of Vater in Wire-Guided Cannulation. Canadian Journal of Gastroenterology and Hepatology No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1099894
American Medical Association (AMA)
Takano, Yuichi& Nagahama, Masatsugu& Yamamura, Eiichi& Maruoka, Naotaka& Takahashi, Hiroshi. Perforation of the Papilla of Vater in Wire-Guided Cannulation. Canadian Journal of Gastroenterology and Hepatology. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1099894
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1099894