A second ERCP for the failure of pre-cut ERCP

VernacularTitle:预切开窗后插管失败再次胆管插管的体会
Author: Xiao ZHANG ; Yinghui GUO ; Xiuying LIN
Publication Type:Journal Article
Keywords: Cholangiopancreatography,endoscopic retrograde; Redo; Bile duct confluence abnormality
From: Chinese Journal of Digestive Endoscopy 2014;31(4):210-212
CountryChina
Language:Chinese
Abstract: Objective To study the therapeutic value of a second ERCP for the patients with failure of pre-cut ERCP.Methods A total of 167 cases of pre-cut ERCP failure were recruited to the study,among which 109 cases were diagnosed as common bile duct stones and/or benign papillary stenosis,and 58 cases as biliopancreatic lesion.ERCP failed with standard intubation for more than 20 minutes,even with pre-cut or fenestration.A second ERCP was preformed after rest of 3-5 days.The position sequence of intubation for most patients was horizontal,the front and rear.Results The success rate was 79.6％ (133 cases) for the patients with a second ERCP,85 patients received the procedures via the horizontal intubation,36 via anterior,and 12 via posterior intubation.The treatments were performed after successful completion of the endoscopic cannulation.One patient had retroperitoneal infection with duodenal perforation,another patient had severe pancreatitis,who were cured by the intervention methods.Conclusion The success rate of a second ERCP is high with proficient intubation skills.