Early precut sphincterotomy for difficult biliary access to reduce post-ERCP pancreatitis: a randomized trial.

@article{Mariani2016EarlyPS,
  title={Early precut sphincterotomy for difficult biliary access to reduce post-ERCP pancreatitis: a randomized trial.},
  author={Alberto Mariani and Milena di Leo and Nicola Giardullo and Antonella Giussani and Mario Marini and Federico Buffoli and Livio Cipolletta and Franco Radaelli and Paolo Ravelli and Giovanni Lombardi and Vittorio D'onofrio and Raffaele Macchiarelli and Elena Iiritano and Marco Le Grazie and Giuseppe Pantaleo and Pier Alberto Testoni},
  journal={Endoscopy},
  year={2016},
  volume={48 6},
  pages={530-5}
}
BACKGROUND AND STUDY AIM Precut sphincterotomy is a technique usually employed for difficult biliary cannulation during endoscopic retrograde cholangiopancreatography (ERCP) for the treatment of bile duct disease. It is a validated risk factor for post-ERCP pancreatitis (PEP), but it is not clear whether the risk is related to the technique itself or to the repeated biliary cannulation attempts preceding it. The primary aim of the study was to assess the incidence of PEP in early precut… CONTINUE READING

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