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 7 Comparison of patient backgrounds between the early precut and the other advanced cannulation technique groups, n (%)

Outcomes	Early precut (n = 48)	ACTs (n = 41)	P value
Age, median (range)	78 (52-91)	79 (41-95)	0.808
Sex (male/female)	31/17	23/18	0.515
Malignant disease	34 (70.8)	14 (34.1)	0.001
Oral protrusion-L	35 (72.9)	23 (56.1)	0.120
Peripapillary diverticulum	7 (14.6)	12 (29.2)	0.121
Expert	29 (60.4)	23 (56.1)	0.829
Pancreatic duct stent	0	29 (70.1)	< 0.001

ACTs: Advanced cannulation techniques; 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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