Precut papillotomy using needle knife fashioned from discarded standard papillotomes.

Research output: Contribution to journalArticle

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Abstract

AIM: To evaluate the results of precut papillotomy using needle-knife papillotomes fashioned from discarded standard sphincterotomes. METHODS: Case records of 50 patients undergoing precut papillotomy for access to either common bile duct or pancreatic duct during endoscopic retrograde cholangiopancreatography were reviewed. Precut was performed using needle-knife papillotomes fashioned from standard pull-type sphicterotomes that were discarded because of broken cutting wires. A diagnostic procedure was planned in all 50 patients (bile duct = 39, pancreatic duct = 9, both ducts = 2) and therapeutic procedure in 36 patients (bile duct = 31, pancreatic duct = 5). RESULTS: Of the 47 patients who needed precut prior to diagnostic ERCP, 44 (93.6%) underwent successful cannulation of the duct of choice. Therapeutic procedures were planned in 36 patients; these were successful in 24 (67%; bile duct = 22, pancreatic duct = 2). The complications included cholangitis in 8 patients (16%) and pancreatitis in 2 (4%). None had bleeding or perforation. CONCLUSIONS: Precut needle-knife papillotomes fashioned from discarded standard sphincterotomes can be used effectively and can help in cost containment in endoscopic retrograde cholangiopancreatography.

Original languageEnglish
Pages (from-to)116-118
Number of pages3
JournalIndian Journal of Gastroenterology
Volume19
Issue number3
Publication statusPublished - 01-07-2000

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Needles
Pancreatic Ducts
Endoscopic Retrograde Cholangiopancreatography
Bile Ducts
Cholangitis
Cost Control
Common Bile Duct
Catheterization
Pancreatitis
Hemorrhage
Therapeutics

All Science Journal Classification (ASJC) codes

  • Gastroenterology

Cite this

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title = "Precut papillotomy using needle knife fashioned from discarded standard papillotomes.",
abstract = "AIM: To evaluate the results of precut papillotomy using needle-knife papillotomes fashioned from discarded standard sphincterotomes. METHODS: Case records of 50 patients undergoing precut papillotomy for access to either common bile duct or pancreatic duct during endoscopic retrograde cholangiopancreatography were reviewed. Precut was performed using needle-knife papillotomes fashioned from standard pull-type sphicterotomes that were discarded because of broken cutting wires. A diagnostic procedure was planned in all 50 patients (bile duct = 39, pancreatic duct = 9, both ducts = 2) and therapeutic procedure in 36 patients (bile duct = 31, pancreatic duct = 5). RESULTS: Of the 47 patients who needed precut prior to diagnostic ERCP, 44 (93.6{\%}) underwent successful cannulation of the duct of choice. Therapeutic procedures were planned in 36 patients; these were successful in 24 (67{\%}; bile duct = 22, pancreatic duct = 2). The complications included cholangitis in 8 patients (16{\%}) and pancreatitis in 2 (4{\%}). None had bleeding or perforation. CONCLUSIONS: Precut needle-knife papillotomes fashioned from discarded standard sphincterotomes can be used effectively and can help in cost containment in endoscopic retrograde cholangiopancreatography.",
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Precut papillotomy using needle knife fashioned from discarded standard papillotomes. / Pai, C. G.

In: Indian Journal of Gastroenterology, Vol. 19, No. 3, 01.07.2000, p. 116-118.

Research output: Contribution to journalArticle

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