Journal of Gastroenterology and Hepatology

Volume 28, Issue 11 pp. 1787-1793

Gastroenterology

Is the double-guidewire technique superior to the pancreatic duct guidewire technique in cases of pancreatic duct opacification?

Reina Tanaka,

Reina Tanaka

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Takao Itoi,

Corresponding Author

Takao Itoi

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

Correspondence

Dr Takao Itoi, Department of Gastroenterology and Hepatology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan. Email: [email protected]

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Atsushi Sofuni,

Atsushi Sofuni

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Fumihide Itokawa,

Fumihide Itokawa

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Toshio Kurihara,

Toshio Kurihara

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Takayoshi Tsuchiya,

Takayoshi Tsuchiya

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Shujiro Tsuji,

Shujiro Tsuji

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Kentaro Ishii,

Kentaro Ishii

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Nobuhito Ikeuchi,

Nobuhito Ikeuchi

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Junko Umeda,

Junko Umeda

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Ryosuke Tonozuka,

Ryosuke Tonozuka

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Mitsuyoshi Honjo,

Mitsuyoshi Honjo

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Shuntaro Mukai,

Shuntaro Mukai

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Fuminori Moriyasu,

Fuminori Moriyasu

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Reina Tanaka,

Reina Tanaka

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Takao Itoi,

Corresponding Author

Takao Itoi

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

Correspondence

Dr Takao Itoi, Department of Gastroenterology and Hepatology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan. Email: [email protected]

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Atsushi Sofuni,

Atsushi Sofuni

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Fumihide Itokawa,

Fumihide Itokawa

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Toshio Kurihara,

Toshio Kurihara

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Takayoshi Tsuchiya,

Takayoshi Tsuchiya

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Shujiro Tsuji,

Shujiro Tsuji

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Kentaro Ishii,

Kentaro Ishii

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Nobuhito Ikeuchi,

Nobuhito Ikeuchi

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Junko Umeda,

Junko Umeda

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Ryosuke Tonozuka,

Ryosuke Tonozuka

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Mitsuyoshi Honjo,

Mitsuyoshi Honjo

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Shuntaro Mukai,

Shuntaro Mukai

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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Fuminori Moriyasu,

Fuminori Moriyasu

Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan

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First published: 25 June 2013

https://doi.org/10.1111/jgh.12303

Citations: 19

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

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Abstract

Background and Aims

Pancreatic duct guidewire placement (P-GW) techniques include both the injection cannulation technique with a contrast medium and wire-guided cannulation without contrast injection for selective biliary cannulation; the latter is the so-called “double-guidewire technique” (D-GW). The aim of this study was to compare the outcomes between P-GW and D-GW for biliary cannulation.

Methods

The procedures for biliary cannulation with a naïve papilla were performed in a total of 363 cases. We divided the patients chronologically, according to the time period during which the procedures were performed, into two groups: group A, P-GW performed from March 2008 to June 2009; and group B, D-GW performed from July 2009 to December 2010. The success rates and complication rates were evaluated in each group.

Results

Biliary cannulation was successful in 31 (81.6%) patients in the P-GW group and 34 patients (82.9%) in the D-GW group. The onsets of postendoscopic retrograde cholangiopancreatography pancreatitis (PEP) occurred in the P-GW and D-GW groups were four (10.5%) and three (7.3%) patients, respectively, and all were mild cases (P = 0.616). The frequency of hyperamylasemia and the serum amylase level tended to be lower in the D-GW group than in the P-GW group (P = 0.213). There was a statistically significant difference on the onsets of PEP in the GW and non-GW groups (P = 0.04, 8.9% and 1.1%, respectively).

Conclusions

Both the D-GW and P-GW techniques were equally effective for difficult biliary cannulation. Furthermore, the complication rates, including PEP, were similar in both techniques. A prospective randomized trial is warranted.

References

1 Lella F, Bagnolo F, Colombo E. A simple way of avoiding post-ERCP pancreatitis. Gastrointest. Endosc. 2004; 59: 830–834.
10.1016/S0016-5107(04)00363-3
PubMed Web of Science® Google Scholar
2 Artifon EL, Sakai P, Cunha JE, Halwan B, Ishioka S, Kumar A. Guidewire cannulation reduces risk of post-ERCP pancreatitis and facilitates bile duct cannulation. Am. J. Gastroenterol. 2007; 102: 2147–2153.
10.1111/j.1572-0241.2007.01378.x
PubMed Web of Science® Google Scholar
3 Bailey AA, Bourke MJ, Williams SJ et al. A prospective randomized trial of cannulation technique in ERCP: effects on technical success and post-ERCP pancreatitis. Endoscopy 2008; 40: 296–301.
10.1055/s-2007-995566
CAS PubMed Web of Science® Google Scholar
4 Katsinelos P, Paroutoglou G, Kountouras JA et al. A comparative study of standard ERCP catheter and hydrophilic guide wire in the selective cannulation of the common bile duct. Endoscopy 2008; 40: 302–307.
10.1055/s-2007-995483
CAS PubMed Web of Science® Google Scholar
5 Lee TH, Park do H, Park JY et al. Can wire-guided cannulation prevent post-ERCP pancreatitis? A prospective randomized trial. Gastrointest. Endosc. 2009; 69: 444–449.
10.1016/j.gie.2008.04.064
PubMed Web of Science® Google Scholar
6 Cennamo V, Fuccio L, Zagari RM et al. Can a wire-guided cannulation technique increase bile duct cannulation rate and prevent post-ERCP pancreatitis?: a meta-analysis of randomized controlled trials. Am. J. Gastroenterol. 2009; 104: 2343–2350.
10.1038/ajg.2009.269
PubMed Web of Science® Google Scholar
7 Cheung J, Tsoi KK, Quan WL, Lau JY, Sung JJ. Guidewire versus conventional contrast cannulation of the common bile duct for the prevention of post-ERCP pancreatitis: a systematic review and meta-analysis. Gastrointest. Endosc. 2009; 70: 1211–1219.
10.1016/j.gie.2009.08.007
PubMed Web of Science® Google Scholar
8 Nambu T, Ukita T, Shigoka H, Omuta S, Maetani I. Wire-guided selective cannulation of the bile duct with a sphincterotome: a prospective randomized comparative study with the standard method. Scand. J. Gastroenterol. 2011; 46: 109–115.
10.3109/00365521.2010.521889
PubMed Web of Science® Google Scholar
9 Kawakami H, Maguchi H, Mukai T et al. A multicenter, prospective, randomized study of selective bile duct cannulation performed by multiple endoscopists: the BIDMEN study. Gastrointest. Endosc. 2012; 75: 362–372.
10.1016/j.gie.2011.10.012
PubMed Web of Science® Google Scholar
10 Freeman ML, Guda NM. ERCP cannulation: a review of reported techniques. Gastrointest. Endosc. 2005; 61: 112–125.
10.1016/S0016-5107(04)02463-0
PubMed Web of Science® Google Scholar
11 Dumonceau JM, Deviere J, Cremer M. A new method of achieving deep cannulation of the common bile duct during endoscopic retrograde cholangiopancreatography. Endoscopy 1998; 30: S80.
10.1055/s-2007-1001379
CAS PubMed Web of Science® Google Scholar
12 Gotoh Y, Tamada K, Tomiyama T et al. A new method for deep cannulation of the bile duct by straightening the pancreatic duct. Gastrointest. Endosc. 2001; 53: 820–822.
10.1067/mge.2001.113387
CAS PubMed Web of Science® Google Scholar
13 Hayashi H, Maeda S, Hosokawa O et al. A technique for selective cannulation of the common bile duct in endoscopic retrograde cholangiopancreatography. Insertion of guidewire into the pancreatic duct. Gastrointest. Endosc. 2001; 43: 828–832.
Google Scholar
14 Gyökeres T, Duhl J, Varsányi M, Schwab R, Burai M, Pap A. Double-guidewire placement for endoscopic pancreatobiliary procedures. Endoscopy 2003; 35: 95–96.
10.1055/s-2003-36403
CAS PubMed Web of Science® Google Scholar
15 Maeda S, Hayashi H, Hosokawa O et al. Prospective randomized pilot trial of selective biliary cannulation using pancreatic guide-wire placement. Endoscopy 2003; 35: 721–724.
10.1055/s-2003-41576
CAS PubMed Web of Science® Google Scholar
16 Draganov P, Devonshire DA, Cunningham JT. A new technique to assist in difficult bile duct cannulation at the time of endoscopic retrograde cholangiopancreatography. JSLS 2005; 9: 218–221.
PubMed Google Scholar
17 Ito K, Fujita N, Noda Y et al. Pancreatic guidewire placement for achieving selective biliary cannulation during endoscopic retrograde cholangio-pancreatography. World J. Gastroenterol. 2008; 14: 5595–5600.
10.3748/wjg.14.5595
PubMed Web of Science® Google Scholar
18 Herreros de Tejada A, Calleja JL, Diaz G et al. Double-guidewire technique for difficult bile duct cannulation: a multicenter randomized, controlled trial. Gastrointest. Endosc. 2009; 70: 700–709.
10.1016/j.gie.2009.03.031
PubMed Web of Science® Google Scholar
19 Ito K, Fujita N, Noda Y et al. Can pancreatic duct stenting prevent post-ERCP pancreatitis in patients who undergo pancreatic duct guidewire placement for achieving selective biliary cannulation? A prospective randomized controlled trial. J. Gastroenterol. 2010; 45: 1183–1191.
10.1007/s00535-010-0268-7
PubMed Web of Science® Google Scholar
20 Hisa T, Matsumoto R, Takamatsu M, Furutake M. Impact of changing our cannulation method on the incidence of post-endoscopic retrograde cholangiopancreatography pancreatitis after pancreatic guidewire placement. World J. Gastroenterol. 2011; 17: 5289–5294.
10.3748/wjg.v17.i48.5289
PubMed Web of Science® Google Scholar
21 Xinopoulos D, Bassioukas SP, Kypreos D et al. Pancreatic duct guidewire placement for biliary cannulation in a single-session therapeutic ERCP. World J. Gastroenterol. 2011; 17: 1989–1995.
10.3748/wjg.v17.i15.1989
PubMed Web of Science® Google Scholar
22 Grönroos JM, Vihervaara H, Gullichsen R, Laine S, Karvonen J, Salminen P. Double-guidewire-assisted biliary cannulation: experiences from a single tertiary referral center. Surg. Endosc. 2011; 25: 1599–1602.
10.1007/s00464-010-1458-3
PubMed Web of Science® Google Scholar
23 Sofuni A, Maguchi H, Mukai T et al. Endoscopic pancreatic duct stents reduce the incidence of post-endoscopic retrograde cholangiopancreatography pancreatitis in high-risk patients. Clin. Gastroenterol. Hepatol. 2011; 9: 851–858.
10.1016/j.cgh.2011.06.033
PubMed Web of Science® Google Scholar
24 Freeman ML, Guda NM. Prevention of post-ERCP pancreatitis: a comprehensive review. Gastrointest. Endosc. 2004; 59: 845–864.
10.1016/S0016-5107(04)00353-0
PubMed Web of Science® Google Scholar
25 Cotton PB, Lehman G, Vennes J et al. Endoscopic sphincterotomy complications and their management: an attempt at consensus. Gastrointest. Endosc. 1991; 37: 383–393.
10.1016/S0016-5107(91)70740-2
CAS PubMed Web of Science® Google Scholar
26 Freeman ML, DiSario JA, Nelson DB et al. Risk factors for post-ERCP pancreatitis: a prospective, multicenter study. Gastrointest. Endosc. 2001; 54: 425–434.
10.1067/mge.2001.117550
CAS PubMed Web of Science® Google Scholar
27 Cheng CL, Sherman S, Watkins JL et al. Risk factors for post-ERCP pancreatitis: a prospective multicenter study. Am. J. Gastroenterol. 2006; 101: 139–147.
10.1111/j.1572-0241.2006.00380.x
PubMed Web of Science® Google Scholar
28 Freeman ML, Nelson DB, Sherman S et al. Complications of endoscopic biliary sphincterotomy. N. Engl. J. Med. 1996; 335: 909–918.
10.1056/NEJM199609263351301
CAS PubMed Web of Science® Google Scholar
29 Masci E, Toti G, Mariani A et al. Complications of diagnostic and therapeutic ERCP: a prospective multicenter study. Am. J. Gastroenterol. 2001; 96: 417–443.
10.1111/j.1572-0241.2001.03594.x
CAS PubMed Web of Science® Google Scholar
30 Mehta SN, Pavone E, Barkun JS, Bouchard S, Barkun AN. Predictors of post-ERCP complications in patients with suspected choledocholithiasis. Endoscopy 1998; 30: 457–463.
10.1055/s-2007-1001308
CAS PubMed Web of Science® Google Scholar
31 Mariani A, Giussani A, Di Leo M, Testoni S, Testoni PA. Guidewire biliary cannulation does not reduce post-ERCP pancreatitis compared with the contrast injection technique in low-risk and high- risk patients. Gastrointest. Endosc. 2012; 75: 339–346.
10.1016/j.gie.2011.09.002
PubMed Web of Science® Google Scholar

Citing Literature

Volume28, Issue11

November 2013

Pages 1787-1793

Is the double-guidewire technique superior to the pancreatic duct guidewire technique in cases of pancreatic duct opacification?

Abstract

Background and Aims

Methods

Results

Conclusions

References

Citing Literature

References

Information

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Is the double-guidewire technique superior to the pancreatic duct guidewire technique in cases of pancreatic duct opacification?

Abstract

Background and Aims

Methods

Results

Conclusions

References

Citing Literature

References

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