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

Table 1


No.	Age	Sex	Diagnosis	Papilla	DGW	NKS	Success	Bleeding	P stent	Voren	Panreatitis

1	49	M	Pan cancer	Long	—	—	Yes	1 mild	Yes	—	—
2	47	F	CBDS	Long	—	—	Yes	No	Yes	100	—
3	44	M	Bile leak	Long	—	—	Yes	1 massive^#	Yes	—	—
4	45	F	CBDS	Long, deviated	Yes	—	Yes	No	Yes	—	—
5	45	M	CBDS	Long, deviated	—	Yes	Yes	1 mild	Yes	—	Mild
6	32	F	CBDS	Deviated	Yes	Yes	Yes	No	Yes	—	—
7	77	M	CBDS	Long	—	Yes	Yes*	No	Yes	75	—
8	39	M	CCP	Long	—	—	Yes	No	Yes	100	—
9	25	M	CBDS	Deviated	—	Yes	Yes	No	Yes	100	—
10	72	M	CBDS	Long	Yes	—	Yes	No	Yes	75	—
11	56	F	CBDS	Long, deviated	—	—	Yes	No	Yes	—	—
12	56	F	CBDS	Long, deviated	—	—	Yes	No	Yes	100	Mild
13	58	M	CBDS	Deviated	—	—	Yes	No	Yes	75	—
14	56	M	Pan ccncer	Deviated	—	—	Yes	No	0	—	—
15	82	M	CBDS	PAD	—	Yes	Yes	No	Yes	50	—
16	70	F	BD (pap bx)	Long, deviated	—	—	Yes	No	Yes	75	Mild
17	73	M	Pan cancer	Deviated	—	—	Yes	No	0	—	—
18	70	M	CBDS	Long, deviated	—	—	Yes	No	Yes	100	—
19	64	M	CBDS	Deviated	—	—	Yes	No	Yes	100	—
20	29	F	CBDS	PAD	—	—	Yes*	No	Yes	100	—

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.

Diagnostic and Therapeutic Endoscopy

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

Table 1