title: Selective biliary cannulation techniques for endoscopic retrograde cholangiopancreatography procedures and prevention of post- endoscopic retrograde cholangiopancreatography pancreatitis.
abstract: Numerous endoscopic retrograde cholangiopancreatography (ERCP) techniques have been reported to achieve selective biliary cannulation success. For standard biliary cannulation procedures, the wire-guided cannulation technique has been reported to reduce the rate of post-ERCP pancreatitis (PEP) and increase the biliary cannulation success rate, although conflicting reports exist. The pancreatic or double-guidewire technique and several precut techniques have been reported as useful techniques in difficult biliary cannulation cases. Although ERCP is a useful endoscopic procedure, the risk of adverse events, particularly post-ERCP pancreatitis, is inevitable. Previous studies and analyses have revealed the risk factors for PEP. The efficacy of prophylactic pancreatic duct stent placement and the administration of rectal nonsteroidal anti-inflammatory drugs for preventing PEP has also been reported. Herein, we reviewed reports in the literature regarding the current status of selective biliary cannulation techniques and PEP prevention.
authors.affiliation: a Department of Gastroenterology and Hepatology , Tokyo Medical University , Tokyo , Japan.
authors.forename: Shuntaro
authors.initials: S
authors.lastname: Mukai
authors.affiliation: a Department of Gastroenterology and Hepatology , Tokyo Medical University , Tokyo , Japan.
authors.forename: Takao
authors.initials: T
authors.lastname: Itoi
mesh_terms: D000328:Adult; D000368:Aged; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D002404:Catheterization / Q000009:adverse effects / Q000295:instrumentation; D057785:Catheters; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D019160:Endosonography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D012307:Risk Factors; D015607:Stents; D016896:Treatment Outcome
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal
keywords: EUS-guided rendezvous technique; Endoscopic retrograde cholangiopancreatography; pancreatic guidewire technique; post-ERCP pancreatitis; precut technique; prophylactic pancreatic duct stent; rectal nonsteroidal anti-inflammatory drugs; wire-guided cannulation