Dye-free Wire-guided Cannulation of the Biliary Tree During ERCP is Associated With High Success and Low Complication Rates: Outcomes in a Single Operator Experience of 822 Cases

Douglas G. Adler, Dharmendra Verma, Kristen Hilden, Romil Chadha, Kristen Thomas

Research output: Contribution to journalArticlepeer-review

32 Scopus citations

Abstract

Deep biliary cannulation (DBC) is a prerequisite to most endoscopic retrograde cholangiopancreatographies (ERCPs). Numerous techniques have been described to maximize success and minimize ERCP-related complications, most notably post-ERCP pancreatitis. Dye-free cannulation by using guidewires with hydrophilic tips has been proposed as a technique with a high rate of success and a low rate of complications. We report the outcomes 822 consecutive ERCP procedures by using dye-free guidewire cannulation techniques. To evaluate the success rate for DBC and rates of complications by using dye-free guidewire cannulation techniques. Retrospective. Consecutive ERCP procedures with intent to achieve DBC exclusively by using dye-free guidewire technique were included. Complication data on post-ERCP pancreatitis, bleeding, perforation, and cholangitis were extracted. University. Patients undergoing biliary ERCP. ERCP. Success, complication rates.

Original languageEnglish
Pages (from-to)e57-e62
JournalJournal of Clinical Gastroenterology
Volume44
Issue number3
DOIs
StatePublished - Mar 2010

Keywords

  • Complications
  • ERCP
  • Guidewire cannulation
  • Pancreatitis

ASJC Scopus subject areas

  • Gastroenterology

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