Guidewire-assisted transpancreatic sphincterotomy for difficult biliary cannulation: a prospective randomized controlled trial.

@article{Zang2014GuidewireassistedTS,
  title={Guidewire-assisted transpancreatic sphincterotomy for difficult biliary cannulation: a prospective randomized controlled trial.},
  author={Jinfeng Zang and Chi Zhang and Junye Gao},
  journal={Surgical laparoscopy, endoscopy & percutaneous techniques},
  year={2014},
  volume={24 5},
  pages={429-33}
}
PURPOSE Precut techniques have been used to facilitate biliary cannulation during difficult endoscopic retrograde cholangiopancreatography. Presently, needle-knife sphincterotomy (NKS) is a commonly used precut technique. Since its first description, transpancreatic sphincterotomy, as an alternative method for bile duct entry when conventional biliary cannulation failed, has been debated on its success rate of cannulation and its complications, such as increased incidence of pancreatitis… CONTINUE READING