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Papillary cannulation and sphincterotomy techniques at ERCP: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline by Pier Testoni; Alberto Mariani; Lars Aabakken; Marianna Arvanitakis; Erwan Bories; Guido Costamagna; Jacques Devière; Mario Dinis-Ribeiro; Jean-Marc Dumonceau; Marc Giovannini; Tibor Gyokeres; Michael Hafner; Jorma Halttunen; Cesare Hassan; Luis Lopes; Ioannis Papanikolaou; Tony Tham; Andrea Tringali; Jeanin van Hooft; Earl Williams is a Medicine article available to read on EtoBox.

What is Papillary cannulation and sphincterotomy techniques at ERCP: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline about?

This Guideline is an official statement of the European Society of Gastrointestinal Endoscopy (ESGE). It provides practical advice on how to achieve successful cannulation and sphincterotomy at minimum risk to the patient. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system was adopted to define the strength of recommendations and the quality of evidence. Main recommendations 1 ESGE suggests that difficult biliary cannulation is defined by the presence of one or more of the following: more than 5 contacts with the papilla whilst attempting to cannulate; more than 5 minutes spent attempting to cannulate following visualization of the papilla; more than one unintended pancreatic duct cannulation or opacification (low quality evidence, weak recommendation). 2 ESGE recommends the guidewire-assisted technique for primary biliary cannulation, since it reduces the risk of post-ERCP pancreatitis (moderate quality evidence, strong recommendation). 3 ESGE recommends using pancreatic guidewire (PGW)-assisted biliary cannulation in patients where biliary cannulation is difficult and repeated unintentional access to the main pancreatic duct occurs (moderate qua

Who reads Papillary cannulation and sphincterotomy techniques at ERCP: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline?

Author

Pier Testoni; Alberto Mariani; Lars Aabakken; Marianna Arvanitakis; Erwan Bories; Guido Costamagna; Jacques Devière; Mario Dinis-Ribeiro; Jean-Marc Dumonceau; Marc Giovannini; Tibor Gyokeres; Michael Hafner; Jorma Halttunen; Cesare Hassan; Luis Lopes; Ioannis Papanikolaou; Tony Tham; Andrea Tringali; Jeanin van Hooft; Earl Williams

Publisher

Georg Thieme Verlag KG

Published

2016

Language

EN

Field

Medicine (Health Sciences)