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Articolul urmator |
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Ultima descărcare din IBN: 2023-11-20 20:07 |
SM ISO690:2012 PITEL, Eleferii. Dual-guidewire technique of ERCP in difficult biliary cannulation. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 299. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Pag. 299-299 | ||||||
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Background: Acute pancreatitis (AP) is the most common complication of endoscopic retrograde cholangiopancreatography (ERCP), and develops in up to 15% of cases. Difficult biliary cannulation is a recognized technical factor in the development of post-ERCP pancreatitis. Objective of the study. To assess the results of dual-guidewire technique of ERCP for difficult biliary cannulation. Material and Methods. The dual-guidewire technique of ERCP, when the pancreatic duct is inadvertently cannulated with a first guidewire, whereas second one is passed alongside the existing wire and manipulated into the common bile duct, used in 11 patients. Eight patients underwent the procedure for choledocholithiasis, and 3 for the purpose of biliary stenting for pancreatic tumor. Results.The insertion of a second guidewire into the bile ducts was successful and the goal of endoscopic procedure was achieved in all 11 patients. According to the Cotton consensus criteria, mild post-ERCP pancreatitis, defined as the appearance of AP symptoms, associated by blood amylase at least 3 times higher than normal value for more than 24 hours after the procedure, was detected in only 2 (18%) patients. The rest of the patients had an uneventful post-procedural evolution. Conclusion. The dual-wire ERCP technique may be the preferred measure in situations with single-wire biliary cannulation failure, accompanied by a high therapeutic success rate and a low incidence of post-ERCP pancreatitis. However, more extensive studies are needed to determine its effectiveness. |
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Cuvinte-cheie ERCP, biliary cannulation, pancreatitis, dual-guidewire technique, ERCP, canularea biliară, pancreatită, tehnică cu două fire-ghid |
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