Safety and Efficacy of a Small J-Tipped Guidewire for Pancreatic Duct Endoscopic Intervention
Joint Authors
Fukasawa, Mitsuharu
Sato, Tadashi
Enomoto, Nobuyuki
Hirose, Sumio
Takano, Shinichi
Kadokura, Makoto
Shindo, Hiroko
Takahashi, Ei
Yokota, Yudai
Fukasawa, Yoshimitsu
Kawakami, Satoshi
Hayakawa, Hiroshi
Source
Canadian Journal of Gastroenterology and Hepatology
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-04-01
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background and Aims.
The insertion of the guidewires (GWs) into the pancreatic duct is technically difficult, and there is a risk of post-ERCP pancreatitis (PEP).
The aim of this study was to evaluate the safety and efficacy of a small J-tipped guidewire for pancreatic duct endoscopic intervention.
Methods.
This single-site retrospective study was conducted to assess the procedural success rate and adverse events of endoscopic transpapillary interventions to the pancreatic duct in 114 cases using the small J-tipped GW and 180 cases using the angle-tipped GW.
Results.
The procedural success rate was significantly higher in the small J-tipped GW group compared with that in the angle-tipped GW group (76% versus 47%, P < 0.001).
The procedural success-related factors were chronic pancreatitis (OR 0.43, 95% CI 0.22–0.82, P = 0.01), flexion angle of the pancreatic duct < 90° (OR 0.50, 95% CI 0.30–0.80, P = 0.01), and use of the small J-tipped GW (OR 4.63, 95% CI 2.61–8.20, P < 0.001).
The rates of total post-ERCP pancreatitis were significantly lower in the small J-tipped GW group compared with that in the angle-tipped GW group (3.5% versus 12.2%, P = 0.01).
Multivariate analysis of pancreatitis risk factors indicated that only the use of the small J-tipped GW was a factor in decreasing the risk of developing pancreatitis (OR 0.12, 95% CI 0.09–0.85, P = 0.02).
Conclusions.
Small J-tipped GWs increase the success rate of the pancreatic duct endoscopic intervention as well as a reduced risk of developing postoperative pancreatitis.
American Psychological Association (APA)
Hirose, Sumio& Fukasawa, Mitsuharu& Takano, Shinichi& Kadokura, Makoto& Shindo, Hiroko& Takahashi, Ei…[et al.]. 2019. Safety and Efficacy of a Small J-Tipped Guidewire for Pancreatic Duct Endoscopic Intervention. Canadian Journal of Gastroenterology and Hepatology،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1129942
Modern Language Association (MLA)
Hirose, Sumio…[et al.]. Safety and Efficacy of a Small J-Tipped Guidewire for Pancreatic Duct Endoscopic Intervention. Canadian Journal of Gastroenterology and Hepatology No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1129942
American Medical Association (AMA)
Hirose, Sumio& Fukasawa, Mitsuharu& Takano, Shinichi& Kadokura, Makoto& Shindo, Hiroko& Takahashi, Ei…[et al.]. Safety and Efficacy of a Small J-Tipped Guidewire for Pancreatic Duct Endoscopic Intervention. Canadian Journal of Gastroenterology and Hepatology. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1129942
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1129942