Intervention Protocol

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Pancreatic duct guidewire placement for biliary cannulation for the prevention of post-endoscopic retrograde cholangiopancreatography (ERCP)

  1. Frances Tse1,*,
  2. Grigorios I Leontiadis1,
  3. Yuhong Yuan1,
  4. Paul Moayyedi1,
  5. Alan Barkun2

Editorial Group: Cochrane Upper Gastrointestinal and Pancreatic Diseases Group

Published Online: 6 JUN 2013

DOI: 10.1002/14651858.CD010571


How to Cite

Tse F, Leontiadis GI, Yuan Y, Moayyedi P, Barkun A. Pancreatic duct guidewire placement for biliary cannulation for the prevention of post-endoscopic retrograde cholangiopancreatography (ERCP) (Protocol). Cochrane Database of Systematic Reviews 2013, Issue 6. Art. No.: CD010571. DOI: 10.1002/14651858.CD010571.

Author Information

  1. 1

    McMaster University, Department of Medicine, Division of Gastroenterology, Hamilton, Ontario, Canada

  2. 2

    The Montreal General Hospital, Clinical Epidemiology, Montreal, Quebec, Canada

*Frances Tse, Department of Medicine, Division of Gastroenterology, McMaster University, 1200 Main Street West, 2F53, Hamilton, Ontario, L8N 3Z5, Canada. tsef@mcmaster.ca.

Publication History

  1. Publication Status: New
  2. Published Online: 6 JUN 2013

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Abstract

  1. Top of page
  2. Abstract

This is the protocol for a review and there is no abstract. The objectives are as follows:

To assess the clinical effectiveness of the pancreatic duct guidewire (PGW) technique in difficult CBD cannulation for the prevention of PEP by systematic review and meta-analysis of RCTs.

The objectives of this review are two-fold:

  1. to assess whether the PGW technique shows any overall benefit in reducing adverse clinical outcomes, including PEP and other ERCP-related complications (bleeding, perforation, cholangitis, mortality), compared to: (a) persistent attempts with conventional cannulation techniques (contrast- or guidewire-assisted cannulation and/or (b) other advanced techniques (e.g. precut sphincterotomy, pancreatic duct stent placement, endoscopic ultrasound rendezvous technique) in difficult biliary cannulation; and
  2. to assess whether the technical success of CBD cannulation can be improved by the PGW technique compared to: (a) persistent attempts with conventional cannulation techniques (contrast- or guidewire-assisted cannulation) and/or (b) advanced techniques (e.g. precut sphincterotomy, pancreatic duct stent placement, endoscopic ultrasound rendezvous) in difficult biliary cannulation.