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 5 Comparison of patient backgrounds between standard and advanced cannulation techniques, n (%)

Outcomes	Standard cannulation techniques (n = 314)	ACTs (n = 89)	Univariate analysis (P value)	Logistic regression analysis (P value)	OR (95%CI)
Age, median (range)	78 (29-104)	78 (46-96)	1.00	-	-
Sex (male/female)	176/138	54/35	0.47	-	-
Malignant disease	89 (28.3)	48 (53.9)	< 0.001	< 0.001	2.58 (1.53-4.34)
Experts	162 (51.6)	52 (58.4)	0.28	0.63	1.24 (0.76-1.84)
Peripapillary diverticulum	88 (28.0)	19 (21.3)	0.22	0.47	0.76 (0.44-1.32)
Oral protrusion-L	52 (16.6)	58 (65.2)	< 0.001	< 0.001	2.77 (1.65-4.65)

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

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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