Early precut is useful for difficult bile duct cannulation, particularly in cases with long oral protrusion

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World Journal of Gastrointestinal Endoscopy

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1948-5190

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Cohort Study

World J Gastrointest Endosc. Sep 16, 2025; 17(9): 108420
Published online Sep 16, 2025. doi: 10.4253/wjge.v17.i9.108420

Table 3 Investigation of the occurrence of complications, n (%)

Outcomes	Complications present (n = 37)	No complications (n = 366)	Univariate analysis (P value)	Logistic regression analysis (P value)	OR (95%CI)
Age median (range)	79 (46-89)	78 (29-104)	0.78	-	-
Sex (male/female)	23/14	207/159	0.60	-	-
Malignant disease	11 (29.7)	126 (34.4)	0.72	0.162	0.552 (0.240-1.27)
Experts	24 (64.9)	190 (51.9)	0.28	0.184	1.410 (0.668-2.970)
Periampullary diverticulum	7 (18.9)	100 (27.3)	0.22	0.472	0.75 (0.43-1.28)
Oral protrusion-L	14 (37.8)	96 (35.6)	0.17	0.713	0.848 (0.3510-2.050)
Difficult cannulation	22 (59.5)	125 (34.2)	0.004	0.143	2.060 (0.784-5.080)
ACT	20 (54.1)	75 (20.5)	< 0.001	0.00169	5.405 (1.887-15.53)

OR: Odds ratio; CI: Confidence interval; Oral protrusion-L: Oral protrusion large; ACT: Advanced cannulation technique.

Citation: Kaneko T, Kida M, Kurosu T, Kitahara G, Betto T, Saito Y, Koyama S, Nomura N, Kusano C. Early precut is useful for difficult bile duct cannulation, particularly in cases with long oral protrusion. World J Gastrointest Endosc 2025; 17(9): 108420
URL: https://www.wjgnet.com/1948-5190/full/v17/i9/108420.htm
DOI: https://dx.doi.org/10.4253/wjge.v17.i9.108420

Kaneko T, Kida M, Kurosu T, Kitahara G, Betto T, Saito Y, Koyama S, Nomura N, Kusano C. Early precut is useful for difficult bile duct cannulation, particularly in cases with long oral protrusion. World J Gastrointest Endosc 2025; 17(9): 108420 [PMID: 40979059 DOI: 10.4253/wjge.v17.i9.108420]

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