tility of needle knife sphincterotomy for biliary access in patients at high risk of post-ERCP pancreatitis

Inha University Hospital0 个研究点目标入组 50 人开始时间: 待定最近更新: 2020年4月21日

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•(1) the provision of written informed consent and an age between 18 and 90 years, (2) a naïve ampulla (no previous procedure performed), (3) suspected to have biliary obstruction or biliary disease, (4) need for ERCP for the treatment of biliary obstruction, and (5) risk of PEP defined as at least one of the following:
•suspected biliary sphincter of Oddi dysfunction (SOD), an age between 18 and 50 years, female, normal common bile duct diameter (= 9 mm), normal serum bilirubin level, an obese status (body mass index > 30), or a history of acute pancreatitis.

•(1) an age of < 18 years, (2) pregnant, (3) mental retardation, (4) sensitivity to contrast agents, (5) a history of sphincterotomy or a pancreatobiliary procedure, (6) ampulla of Vater cancer (7) a difficult ampulla approach due to abdominal surgery including stomach cancer with Billroth II anastomosis, or (8) one or more of the following pancreatic diseases: acute pancreatitis within 30 days prior to enrollment, idiopathic acute recurrent pancreatitis, pancreatic divisum, obstructive chronic pancreatitis, pancreatic cancer, or (9) peri-ampullary diverticulum type I or II.

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