リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。

リケラボ 全国の大学リポジトリにある学位論文・教授論文を一括検索するならリケラボ論文検索大学・研究所にある論文を検索できる

リケラボ 全国の大学リポジトリにある学位論文・教授論文を一括検索するならリケラボ論文検索大学・研究所にある論文を検索できる

大学・研究所にある論文を検索できる 「Utility and safety of a new uneven double-lumen sphincterotome in cases of difficult biliary cannulation.」の論文概要。リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。

コピーが完了しました

URLをコピーしました

論文の公開元へ論文の公開元へ
書き出し

Utility and safety of a new uneven double-lumen sphincterotome in cases of difficult biliary cannulation.

SHINTANI Shuhei 60838861 INATOMI Osamu 70530351 0000-0002-5837-6575 TAKEDA Yoshiya MATSUMOTO Hiroshi FUJIMOTO Takehide 90792820 TSUJI Yoshihisa 10711541 KUTSUMI Hiromu 70420461 ANDOH Akira 90252395 0000-0001-8533-2669 滋賀医科大学

2021.03.04

概要

Background:
We investigated the utility and safety of a new uneven double-lumen sphincterotome in biliary cannulation in comparison with the conventional pancreatic guidewire (PGW) method.
Methods:
We retrospectively evaluated 119 patients who required PGW placement because of difficult biliary cannulation. Endoscopic retrograde cholangiopancreatography (ERCP) was performed using a conventional ERCP catheter or a new uneven double-lumen sphincterotome. The success rate of bile duct cannulation, the operation time of bile duct cannulation, and the incidence of post-ERCP pancreatitis (PEP) were evaluated.
Results:
Forty-four patients were treated with a new double-lumen sphincterotome (the new sphincterotome group) and 75 patients underwent conventional PGW placement (the conventional group). The success rate of bile duct cannulation was 39/44 (88.6%) in the new sphincterotome group and 63/75 (84.0%) in the conventional group (not significant). The total biliary cannulation time (from the reach to the papilla to the finish of biliary cannulation) was 16.0 (6.5-78) min in the new sphincterotome group and 26.0 (5-80) min in the conventional group (P < 0.01). The time from PGW placement to bile duct cannulation was 3.5 (0.3-57) min in the magictome group and 12.0 (1-65) min in the conventional group (P < 0.01). Hyperamylasemia was observed in 13/44 (29.5%) and 17/75 (22.7%), respectively (not significant). Five of 44 (11.3%) of the new sphincterotome group and 14/75 (18.7%) of the conventional group were diagnosed with PEP (not significant).
Conclusion:
A new double-lumen sphincterotome allows selective bile duct cannulation to be performed in a shorter time than the conventional PGW method.

この論文で使われている画像

関連論文

参考文献

1. Sasahira N, Kawakami H, Isayama H, Uchino R, Nakai Y, Ito Y, et al. Early use

of double-guidewire technique to facilitate selective bile duct cannulation: the multicenter randomized controlled EDUCATION trial. Endoscopy.

2015;47(5):421–9.

2. Takenaka M, Arisaka Y, Sakai A, Kobayashi T, Shiomi H, Masuda A, et al. A

novel biliary cannulation method for difficult cannulation cases using a

unique, uneven, double-lumen cannula (uneven method). Endoscopy.

2018;50(8):E229–30.

3. Tanaka R, Itoi T, Sofuni A, Itokawa F, Kurihara T, Tsuchiya T, et al. Is the

double-guidewire technique superior to the pancreatic duct guidewire

technique in cases of pancreatic duct opacification? J Gastroenterol

Hepatol. 2013;28(11):1787–93.

4. Cotton PB, Lehman G, Vennes J, Geenen JE, Russell RC, Meyers WC, et al.

Endoscopic sphincterotomy complications and their management: an

attempt at consensus. Gastrointest Endosc. 1991;37(3):383–93.

5. Sherman S, Lehman GA. ERCP- and endoscopic sphincterotomy-induced

pancreatitis. Pancreas. 1991;6(3):350–67.

Page 7 of 7

6. Freeman ML, DiSario JA, Nelson DB, Fennerty MB, Lee JG, Bjorkman DJ,

et al. Risk factors for post-ERCP pancreatitis: a prospective, multicenter

study. Gastrointest Endosc. 2001;54(4):425–34.

7. Gyokeres T, Duhl J, Varsanyi M, Schwab R, Burai M, Pap A. Double guide

wire placement for endoscopic pancreaticobiliary procedures. Endoscopy. 2003;35(1):95–6.

8. Hisa T, Matsumoto R, Takamatsu M, Furutake M. Impact of changing our

cannulation method on the incidence of post-endoscopic retrograde

cholangiopancreatography pancreatitis after pancreatic guidewire placement. World J Gastroenterol. 2011;17(48):5289–94.

9. Maeda S, Hayashi H, Hosokawa O, Dohden K, Hattori M, Morita M, et al.

Prospective randomized pilot trial of selective biliary cannulation using

pancreatic guide-wire placement. Endoscopy. 2003;35(9):721–4.

10. Ito K, Fujita N, Noda Y, Kobayashi G, Obana T, Horaguchi J, et al. Pancreatic

guidewire placement for achieving selective biliary cannulation during

endoscopic retrograde cholangio-pancreatography. World J Gastroenterol. 2008;14(36):5595–600 (discussion 9).

11. Dumonceau JM, Deviere J, Cremer M. A new method of achieving deep

cannulation of the common bile duct during endoscopic retrograde

cholangiopancreatography. Endoscopy. 1998;30(7):S80.

12. Gotoh Y, Tamada K, Tomiyama T, Wada S, Ohashi A, Satoh Y, et al. A new

method for deep cannulation of the bile duct by straightening the pancreatic duct. Gastrointest Endosc. 2001;53(7):820–2.

13. Takenaka M, Yamao K, Kudo M. Novel method of biliary cannulation for

patients with Roux-en-Y anastomosis using a unique, uneven, doublelumen cannula (uneven method). Dig Endosc. 2018;30(6):808–9.

14. Ito K, Fujita N, Noda Y, Kobayashi G, Obana T, Horaguchi J, et al. Can

pancreatic duct stenting prevent post-ERCP pancreatitis in patients who

undergo pancreatic duct guidewire placement for achieving selective

biliary cannulation? A prospective randomized controlled trial. J Gastroenterol. 2010;45(11):1183–91.

15. Conigliaro R, Manta R, Bertani H, Manno M, Barbera C, Caruso A, et al.

Pancreatic duct stenting for the duration of ERCP only does not prevent

pancreatitis after accidental pancreatic duct cannulation: a prospective

randomized trial. Surg Endosc. 2013;27(2):569–74.

16. Mazaki T, Mado K, Masuda H, Shiono M. Prophylactic pancreatic stent

placement and post-ERCP pancreatitis: an updated meta-analysis. J

Gastroenterol. 2014;49(2):343–55.

17. Ryozawa S, Itoi T, Katanuma A, Okabe Y, Kato H, Horaguchi J, et al. Japan

Gastroenterological Endoscopy Society guidelines for endoscopic

sphincterotomy. Dig Endosc. 2018;30(2):149–73.

18. Mariani A, Giussani A, Di Leo M, Testoni S, Testoni PA. Guidewire biliary

cannulation does not reduce post-ERCP pancreatitis compared with the

contrast injection technique in low-risk and high-risk patients. Gastrointest Endosc. 2012;75(2):339–46.

19. Thaker AM, Mosko JD, Berzin TM. Post-endoscopic retrograde cholangiopancreatography pancreatitis. Gastroenterol Rep (Oxf ). 2015;3(1):32–40.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Ready to submit your research ? Choose BMC and benefit from:

• fast, convenient online submission

• thorough peer review by experienced researchers in your field

• rapid publication on acceptance

• support for research data, including large and complex data types

• gold Open Access which fosters wider collaboration and increased citations

• maximum visibility for your research: over 100M website views per year

At BMC, research is always in progress.

Learn more biomedcentral.com/submissions

...

参考文献をもっと見る

全国の大学の
卒論・修論・学位論文

一発検索!

この論文の関連論文を見る