Advanced

How to cannulate? A survey of the Scandinavian Association for Digestive Endoscopy (SADE) in 141 endoscopists

Lohr, J-Matthias; Aabaken, Lars; Arnelo, Urban; Gronroos, Juha; Halttunen, Jorma; Hauge, Truls; Jonas, Eduard; Kleveland, Per M.; Schmidt, Palle Nordblad and Swahn, Fredrik, et al. (2012) In Scandinavian Journal of Gastroenterology 47(7). p.861-869
Abstract
Cannulation of the papilla vateri represents an enigmatic first step in endoscopic retrograde cholangiopancreaticography (ERCP). In light of falling numbers of (diagnostic) ERCP and novel techniques, e. g. short-wire system, we were interested in the approach novice and experienced endoscopist are taking; especially, what makes a papilla difficult to cannulate and how to approach this. We devised a structured online questionnaire, sent to all endoscopists registered with SADE, the Scandinavian Association for Digestive Endoscopy. A total of 141 responded. Of those, 49 were experienced ERCP-endoscopists (>900 ERCPs). The first choice of cannulation is with a sphincterotome and a preinserted wire. Both less experienced and more... (More)
Cannulation of the papilla vateri represents an enigmatic first step in endoscopic retrograde cholangiopancreaticography (ERCP). In light of falling numbers of (diagnostic) ERCP and novel techniques, e. g. short-wire system, we were interested in the approach novice and experienced endoscopist are taking; especially, what makes a papilla difficult to cannulate and how to approach this. We devised a structured online questionnaire, sent to all endoscopists registered with SADE, the Scandinavian Association for Digestive Endoscopy. A total of 141 responded. Of those, 49 were experienced ERCP-endoscopists (>900 ERCPs). The first choice of cannulation is with a sphincterotome and a preinserted wire. Both less experienced and more experienced endoscopists agreed on the criteria to describe a papilla difficult to cannulate and both would choose the needle-knife sphincterotomy (NKS) to get access to the bile duct. The less experienced used more "upward" NKS, whereas the more experienced also used the "downward" NKS technique. This survey provides us with a database allowing now for a more differentiated view on cannulation techniques, success, and outcome in terms of pancreatitis. (Less)
Please use this url to cite or link to this publication:
author
, et al. (More)
(Less)
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
cannulation, ERCP, needle-knife sphincterotomy
in
Scandinavian Journal of Gastroenterology
volume
47
issue
7
pages
861 - 869
publisher
Taylor & Francis
external identifiers
  • wos:000305008500015
  • scopus:84862184123
ISSN
1502-7708
DOI
10.3109/00365521.2012.672588
language
English
LU publication?
yes
id
30720e18-65f5-49bb-84ba-1cf7d4772370 (old id 2895888)
date added to LUP
2012-08-01 08:53:40
date last changed
2017-07-30 04:24:48
@article{30720e18-65f5-49bb-84ba-1cf7d4772370,
  abstract     = {Cannulation of the papilla vateri represents an enigmatic first step in endoscopic retrograde cholangiopancreaticography (ERCP). In light of falling numbers of (diagnostic) ERCP and novel techniques, e. g. short-wire system, we were interested in the approach novice and experienced endoscopist are taking; especially, what makes a papilla difficult to cannulate and how to approach this. We devised a structured online questionnaire, sent to all endoscopists registered with SADE, the Scandinavian Association for Digestive Endoscopy. A total of 141 responded. Of those, 49 were experienced ERCP-endoscopists (>900 ERCPs). The first choice of cannulation is with a sphincterotome and a preinserted wire. Both less experienced and more experienced endoscopists agreed on the criteria to describe a papilla difficult to cannulate and both would choose the needle-knife sphincterotomy (NKS) to get access to the bile duct. The less experienced used more "upward" NKS, whereas the more experienced also used the "downward" NKS technique. This survey provides us with a database allowing now for a more differentiated view on cannulation techniques, success, and outcome in terms of pancreatitis.},
  author       = {Lohr, J-Matthias and Aabaken, Lars and Arnelo, Urban and Gronroos, Juha and Halttunen, Jorma and Hauge, Truls and Jonas, Eduard and Kleveland, Per M. and Schmidt, Palle Nordblad and Swahn, Fredrik and Saarela, Arto and Toth, Ervin and Meisner, Soren},
  issn         = {1502-7708},
  keyword      = {cannulation,ERCP,needle-knife sphincterotomy},
  language     = {eng},
  number       = {7},
  pages        = {861--869},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Gastroenterology},
  title        = {How to cannulate? A survey of the Scandinavian Association for Digestive Endoscopy (SADE) in 141 endoscopists},
  url          = {http://dx.doi.org/10.3109/00365521.2012.672588},
  volume       = {47},
  year         = {2012},
}