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World J Gastrointest Endosc. Nov 16, 2026; 18(11): 126966
Published online Nov 16, 2026. doi: 10.4253/wjge.126966
Published online Nov 16, 2026. doi: 10.4253/wjge.126966
Nursing management for patients with minor papilla stent placement after failed endoscopic retrograde cholangiopancreatography cannulation: Two case reports
Hui-Bing Jin, The Second School of Clinical Medicine, Southern Medical University, Guangzhou 510515, Guangdong Province, China
Jin-Hong Huang, Sen-Shi Wang, Yue Li, Liang-Fang Li, Digestive Endoscopy Center, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou 510080, Guangdong Province, China
Shi-Xue Dai, Department of General Practice, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou 510080, Guangdong Province, China
Co-first authors: Hui-Bing Jin and Jin-Hong Huang.
Co-corresponding authors: Yue Li and Liang-Fang Li.
Author contributions: Jin HB, Li LF, and Wang SS contributed to conceptualization, data collection, and manuscript drafting; Huang JH contributed to data verification and critical revision; Dai SX assisted with editing design and language. Li Y and Li LF served as co-corresponding authors. Li Y oversaw the overall research framework, was in charge of research quality control, coordinated communications with the journal throughout the submission and revision process, and bears primary responsibility for responding to academic queries and reviewer comments. Li LF led the clinical implementation of this study, was responsible for confirming the authenticity and integrity of all clinical data, and supervised the clinical interpretation of the findings. Both co-corresponding authors jointly reviewed and approved every revised version of the manuscript, shared accountability for all aspects of the work, and are jointly accountable for ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. Li Y contributed to the supervision and final approval; and all authors approved the final version of the manuscript. All authors met the ICMJE criteria for authorship.
AI contribution statement: During the preparation of this manuscript, the authors used Deepseek and Kimi solely for the purpose of language polishing and grammar refinement. The authors carefully reviewed and edited the content generated or altered by the AI tools, and take full responsibility for the integrity, accuracy, and scientific validity of the final manuscript.
Informed consent statement: Written informed consent was obtained from both patients for the publication of this case report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Liang-Fang Li, Associate Chief Nurse, Digestive Endoscopy Center, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, No. 106 Zhongshan Er Road, Guangzhou 510080, Guangdong Province, China. liliangfang@gdph.org.cn
Received: August 24, 2026
Revised: October 8, 2026
Accepted: October 29, 2026
Published online: November 16, 2026
Processing time: 83 Days and 13.9 Hours
Revised: October 8, 2026
Accepted: October 29, 2026
Published online: November 16, 2026
Processing time: 83 Days and 13.9 Hours
Core Tip
Core Tip: This case report describes the nursing care of two patients undergoing minor papilla pancreatic stent placement after failed major papilla cannulation during endoscopic retrograde cholangiopancreatography (ERCP). We propose a three-component nursing framework encompassing preprocedural imaging review to identify anatomical variants and prepare specialized instruments, intraprocedural “major-first, minor-second” sequential strategy with coordinated guidewire manipulation, and a postprocedural “fasting-enzyme inhibition-fluid resuscitation” protocol for post-ERCP pancreatitis prevention. These nursing strategies may be helpful for optimizing outcomes in this high-risk population and provide practical guidance for endoscopy nursing teams.