©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Apr 7, 2015; 21(13): 3978-3982
Published online Apr 7, 2015. doi: 10.3748/wjg.v21.i13.3978
Published online Apr 7, 2015. doi: 10.3748/wjg.v21.i13.3978
Endoscopic transpancreatic septotomy as a precutting technique for difficult bile duct cannulation
Lin Miao, Quan-Peng Li, Xian-Xiu Ge, Hong Yu, Fei Wang, Guo-Zhong Ji, Institute of Digestive Endoscopy and Medical Center for Digestive Diseases, Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, Jiangsu Province, China
Ming-Hui Zhu, Department of Digestive Medicine, Jingjiang City People’s Hospital, 214500 Jingjiang, Jiangsu Province, China
Author contributions: Miao L and Li QP contributed equally to this work; all the authors contributed to this article.
Correspondence to: Lin Miao, MD, Institute of Digestive Endoscopy and Medical Center for Digestive Diseases, Second Affiliated Hospital of Nanjing Medical University, 211 Jiangjiayuan, Nanjing 210011, Jiangsu Province, China. miaolinxh@163.com
Telephone: +86-25-58509931 Fax: +86-25-58509931
Received: July 16, 2014
Peer-review started: July 22, 2014
First decision: September 27, 2014
Revised: October 10, 2014
Accepted: November 7, 2014
Article in press: November 11, 2014
Published online: April 7, 2015
Processing time: 264 Days and 18.8 Hours
Peer-review started: July 22, 2014
First decision: September 27, 2014
Revised: October 10, 2014
Accepted: November 7, 2014
Article in press: November 11, 2014
Published online: April 7, 2015
Processing time: 264 Days and 18.8 Hours
Core Tip
Core tip: In this study, we describe that pancreatic guidewire or pancreatic duct plastic stent assistance improves the success rate of selective bile duct cannulation in endoscopic retrograde cholangiopancreatography (ERCP). Transpancreatic septotomy (TS) and needle knife sphincterotomy (NKS) markedly improve the success rate of selective bile duct cannulation in ERCP. TS precut is safer and effective than NKS.