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Preventive Role of Wire-Guided Cannulation to Reduce Hyperamylasemia and Pancreatitis Following Endoscopic Retrograde Cholangiopancreatography
Joint Authors
Mousavi, Mirhadi
zafar Doagoo, Siavash
Mirsattari, Dariush
Mohammad Alizadeh, Amir Houshang
Afzali, Esmaeil Shamsi
Shahnazi, Anahita
Zali, Mohammad Reza
Source
Diagnostic and Therapeutic Endoscopy
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-07-15
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background and Study Aims.
The usefulness of wire-guided cannulation for avoiding hyperamylasemia and pancreatitis following endoscopic retrograde cholangiopancreatography (ERCP) is conflicting, and therefore we designed this study to determine whether wire-guided cannulation reduces the rate of post-ERCP hyperamylasemia and pancreatitis and compare its efficacy to conventional method.
Patients and Methods.
Seven hundred and forty-eight patients with hepatobiliary diseases consecutively underwent diagnostic or therapeutic ERCP at the unit of Taleghani referral hospital in Tehran.
Among them, 546 patients were eligible for wire-guided cannulation and underwent this procedure and others underwent sphincterotome biliary cannulation using contrast injection as the conventional method.
Results.
Patients in the two groups were comparable in terms of gender and age.
Successful biliary cannulation was achieved similary in the guidewire and conventional group (89.2% versus 86.4%) that in 5.4% and 14.1% of them it was difficultly performed, respectively (P=0.003).
The main pancreatic duct was more visualized in 99.0% of patients in conventional group in comparison with 79.0% in another group (P<0.001).
Multivariate regression analysis showed that wire-guided cannulation had a protective role for post-ERCP hyperamylasemia (OR: 0.336, 95% CI: 0.181–0.623, P<0.001).
However, there were no significant differences between the two groups in rates of other procedure-related complications, such as, pancreatitis, bleeding, and perforation.
Conclusion.
The use of guidewire cannulation in comparison with conventional method can be accompanied with lower post-ERCP hyperamylasemia, and therefore selection of this cannulation technique especially in high-risk group is recommended.
American Psychological Association (APA)
Mohammad Alizadeh, Amir Houshang& Afzali, Esmaeil Shamsi& zafar Doagoo, Siavash& Mousavi, Mirhadi& Mirsattari, Dariush& Shahnazi, Anahita…[et al.]. 2012. Preventive Role of Wire-Guided Cannulation to Reduce Hyperamylasemia and Pancreatitis Following Endoscopic Retrograde Cholangiopancreatography. Diagnostic and Therapeutic Endoscopy،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-500833
Modern Language Association (MLA)
Mohammad Alizadeh, Amir Houshang…[et al.]. Preventive Role of Wire-Guided Cannulation to Reduce Hyperamylasemia and Pancreatitis Following Endoscopic Retrograde Cholangiopancreatography. Diagnostic and Therapeutic Endoscopy No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-500833
American Medical Association (AMA)
Mohammad Alizadeh, Amir Houshang& Afzali, Esmaeil Shamsi& zafar Doagoo, Siavash& Mousavi, Mirhadi& Mirsattari, Dariush& Shahnazi, Anahita…[et al.]. Preventive Role of Wire-Guided Cannulation to Reduce Hyperamylasemia and Pancreatitis Following Endoscopic Retrograde Cholangiopancreatography. Diagnostic and Therapeutic Endoscopy. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-500833
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-500833