Nakahara K, Okuse C, Suetani K, Michikawa Y, Kobayashi S, Otsubo T, Itoh F. Need for pancreatic stenting after sphincterotomy in patients with difficult cannulation. World J Gastroenterol 2014; 20(26): 8617-8623 [PMID: 25024617 DOI: 10.3748/wjg.v20.i26.8617]
Corresponding Author of This Article
Kazunari Nakahara, PhD, Department of Gastroenterology and Hepatology, St. Marianna University School of Medicine, 2-16-1, Sugao, Miyamae-ku, Kawasaki 216-8511, Japan. nakahara@marianna-u.ac.jp
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Kazunari Nakahara, Chiaki Okuse, Keigo Suetani, Yosuke Michikawa, Fumio Itoh, Department of Gastroenterology and Hepatology, St. Marianna University School of Medicine, Kawasaki 216-8511, Japan
Shinjiro Kobayashi, Takehito Otsubo, Department of Gastroenterological and General Surgery, St. Marianna University School of Medicine, Kawasaki 216-8511, Japan
Author contributions: Nakahara K and Okuse C contributed equally to this work; Nakahara K and Okuse C designed the report; Nakahara K, Suetani K, Michikawa Y, and Kobayashi S were attending doctors for the patients; Otsubo T and Itoh F organized the report; and Nakahara K wrote the paper.
Correspondence to: Kazunari Nakahara, PhD, Department of Gastroenterology and Hepatology, St. Marianna University School of Medicine, 2-16-1, Sugao, Miyamae-ku, Kawasaki 216-8511, Japan. nakahara@marianna-u.ac.jp
Telephone: +81-44-9778111 Fax: +81-44-9765805
Received: January 11, 2014 Revised: March 10, 2014 Accepted: April 21, 2014 Published online: July 14, 2014
Core Tip
Core tip: We retrospectively examined the need for pancreatic stenting after endoscopic sphincterotomy (EST) in patients with difficult biliary cannulation in whom the bile duct was cannulated using the pancreatic duct guidewire placement method (P-GW). The incidences of post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP) were 4.2% and 29.0% in the Stent and no-stent groups, respectively, with the no-stent group having a significantly higher incidence (P = 0.031). A multivariate analysis identified the absence of pancreatic stenting as a significant risk factor for PEP. Therefore, in patients with difficult cannulation in whom the bile duct is cannulated using P-GW, a pancreatic stent should be placed even if EST has been performed.
