Clinical Study

Transpancreatic Precut Sphincterotomy for Biliary Access: The Relation of Sphincterotomy Size to Immediate Success Rate of Biliary Cannulation

Table 1


No.AgeSexDiagnosisPapillaDGWNKSSuccessBleedingP stentVoren Panreatitis

149MPan cancerLongYes1 mildYes
247FCBDSLongYesNoYes100
344MBile leakLongYes1 massive#Yes
445FCBDSLong, deviated YesYesNoYes
545MCBDSLong, deviatedYesYes1 mildYesMild
632FCBDSDeviated YesYesYesNoYes
777MCBDSLongYesYes*NoYes75
839MCCPLongYesNoYes100
925MCBDSDeviatedYesYesNoYes100
1072MCBDSLongYesYesNoYes75
1156FCBDSLong, deviatedYesNoYes
1256FCBDSLong, deviatedYesNoYes100Mild
1358MCBDSDeviated YesNoYes75
1456MPan ccncerDeviated YesNo0
1582MCBDSPADYesYesNoYes50
1670FBD (pap bx)Long, deviated YesNoYes75Mild
1773MPan cancerDeviated YesNo0
1870MCBDSLong, deviatedYesNoYes100
1964MCBDSDeviatedYesNoYes100
2029FCBDSPAD Yes*NoYes100

DWG: double guide wire technique, NK: needle knife, P: pancreatic, Diclo: diclofenac, CBDS: common bile duct stone, BD: bile duct dilatation, Pap: papillary, PAD: periampullary diverticulum, *Second attempt of CBD cannulation, #massive delayed TPS bleeding ended with surgery after failed endoscopic hemostasis and transarterial emboiization.
Long papilla: >2 cm and with difficult selective CBD cannulation.
Deviated papilla: difficult to adjust the papillary orifice in an en-face position.
Lower dose of diclofenac was given in older patients with mildly elevated renal function.