Early Precut Sphincterotomy Ups Primary Cannulation Rates

This article originally appeared here.
Share this content:
Early Precut Sphincterotomy Ups Primary Cannulation Rates
Early Precut Sphincterotomy Ups Primary Cannulation Rates

TUESDAY, Sept. 29, 2015 (HealthDay News) -- Early use of precut sphincterotomy does not increase the risk of pancreatitis but does increase rates of primary cannulation during endoscopic retrograde cholangiopancreatography (ERCP), according to research published in the October issue of Clinical Gastroenterology and Hepatology.

Prakalathan Sundaralingam, from Westmead Hospital in Sydney, and colleagues performed a meta-analysis of randomized controlled trials to determine how early use of precut sphincterotomy affects the risk of pancreatitis and rate of cannulation success, compared with persistent standard cannulation.

The researchers found that based on five identified studies (523 participants) there were no significant differences in the incidence of post-ERCP pancreatitis and success of overall cannulation between the early precut and persistent standard therapy groups. There were increased odds for primary cannulation success (risk ratio, 1.32) with early use of precut sphincterotomy. There was a significant reduction in risk of pancreatitis among patients receiving early precut versus the standard technique (risk ratio, 0.29) among studies that involved only fully-qualified biliary endoscopists (not fellows).

"When the procedure is performed by qualified biliary endoscopists, early precut can reduce the risk of post-ERCP pancreatitis," the authors write.

Abstract
Full Text

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »


Sign up for myCME e-newsletters


Drug Lookup

Browse drugs by: BrandGenericDisease


More in Home

Both Statin, Non-Statin Therapies Effective for Lowering LDL

Both Statin, Non-Statin Therapies Effective for Lowering LDL

Dietary changes, other meds, and even surgery can lower cardiovascular risk similarly to statins

Negative Effects Seen With Video Gaming 9 Hours/Week

Negative Effects Seen With Video Gaming 9+ Hours/Week

Benefits seen with one hour a week, but behavioral problems appear to rise at nine hours a week

Improved Adult Lung Function Linked to Childhood Farm Life

Improved Adult Lung Function Linked to Childhood Farm ...

First study to report beneficial effects of growing up on a farm on adult FEV1

is free, fast, and customized just for you!

Already a member?

Sign In Now »