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首页> 外文期刊>World Journal of Gastroenterology >Comparison of early pre-cutting vs standard technique for biliary cannulation in endoscopic retrograde cholangiopancreatography: A personal experience
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Comparison of early pre-cutting vs standard technique for biliary cannulation in endoscopic retrograde cholangiopancreatography: A personal experience

机译：内镜逆行胰胆管造影术中胆管插管早期预切技术与标准技术的比较：个人经验

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AIM: To compare the results and complications of early pre-cutting technique with standard technique. METHODS: From January 2003 to December 2004, a total of 416 consecutive therapeutic biliary ERCP procedures were performed by one endoscopist (T.A.). Data were retrospectively collected according to procedure indication and results. Of these, 293 procedures (70.4%) were done with standard technique (group A) and 123 procedures (29.6%) with early pre-cutting technique in case of difficult cannulation (group B). The results and complications of ERCP were compared. RESULTS: Success rate of first attempt cannulation was 98.0% in group A and 87.8% in group B. The overall incidence of post-ERCP pancreatitis, hemorrhage, perforation and cholangitis was 0%, 0.2%, 0.5% and 0.5%, respectively. Morbidity rate was not significantly different. No procedure-related mortality was occurred. CONCLUSION: For an experienced hand, the early pre-cutting technique for biliary cannulation is safe and effective as standard technique.
机译：目的：比较早期预切技术与标准技术的结果和并发症。方法：从2003年1月至2004年12月，一名内镜医师（T.A.）总共进行了416次连续性胆道ERCP治疗。根据程序指示和结果回顾性收集数据。其中，在插管困难的情况下，采用标准技术（A组）进行了293例手术（占70.4％），采用早期预切技术进行了123例（29.6％）（B组）。比较了ERCP的结果和并发症。结果：A组首次尝试插管的成功率为98.0％，B组为87.8％。ERCP后胰腺炎，出血，穿孔和胆管炎的总发生率分别为0％，0.2％，0.5％和0.5％。发病率无显着差异。没有发生与手术相关的死亡率。结论：对于有经验的手，早期的胆道插管预切技术是安全有效的标准方法。

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