Editorial: Guidewire Trauma: A Key Component of Post-ERCP Pancreatitis That Is Best Controlled by the Endoscopist

Indu Srinivasan, Martin L Freeman

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations

Abstract

Recent studies have revealed that deep pancreatic duct wire passage, even in the absence of contrast injection, is a major technique-related culprit in post-ERCP pancreatitis, unless followed by placement of a pancreatic stent. As guidewire cannulation becomes increasingly widespread, precise control of the guidewire is thus critical. The first randomized trial to compare endoscopist-controlled wire guided vs. assistant-controlled bile duct cannulation has shown a significant reduction in post ERCP pancreatitis when the physician manipulates the wire. Though there is no single universal solution to post-ERCP pancreatitis, careful attention to wire contol is emerging as an important aspect of safety in ERCP.

Original languageEnglish (US)
Pages (from-to)1848-1850
Number of pages3
JournalAmerican Journal of Gastroenterology
Volume111
Issue number12
DOIs
StatePublished - Dec 1 2016

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