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.