ReviewWorld journal of gastrointestinal endoscopy2019
Difficult biliary cannulation: Historical perspective, practical updates, and guide for the endoscopist.
Review in World journal of gastrointestinal endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 75 citations in OpenAlex.
- Morphology of the papilla can predict procedural safety and efficacy of ERCP-a systematic review and meta-analysis.Scientific reports · 2024Pooled it
- Comparison between different advanced cannulation techniques for difficult biliary cannulation: a systematic review with a meta-analysis.Frontiers in medicine · 2024Pooled it
- Global trends and hotspots in robot-assisted gastrointestinal endoscopy: a bibliometric and visualization analysis.Journal of robotic surgery · 2026Review
- Robotic-Assisted Bile Duct Cannulation During Endoscopic Retrograde Cholangiopancreatography: A Randomised Controlled Crossover Animal Study.The international journal of medical robotics + computer assisted surgery : MRCAS · 2026Article
- Superiority of Pancreatic Duct Stent-Assisted Biliary Cannulation for Difficult Biliary Cannulation During Endoscopic Retrograde Cholangiopancreatography After Unintentional Pancreatic Duct Access.Surgical laparoscopy, endoscopy & percutaneous techniques · 2026Article
- Difficult biliary cannulation among patients with compensated liver cirrhosis: predictors and impact on complications.Scientific reports · 2026Article
- Cutting Edge Access: Needle Knife Fistulotomy for Difficult Biliary Cannulation.Current gastroenterology reports · 2026Review
- Feasibility of primary precut sphincterotomy in endoscopic retrograde cholangiopancreatography for patients with large oral protrusions of the duodenal papilla; prospective observation study in Japan.Clinical endoscopy · 2026Article
- Around the World: duodenoscope maneuver to permit an en face papillary view and short duodenoscope position in the setting of duodenal compression.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2026Article
- Difficult biliary cannulation during ERCP: techniques and an evidence-informed practical algorithm.Frontiers in medicine · 2026Review
- 3D-assisted ERCP enhances cannulation efficiency in malignant biliary obstruction: a prospective two-center study.International journal of surgery (London, England) · 2026Article
- Transpancreatic Sphincterotomy Is a Safe and Effective Pancreatic Guidewire-Assisted Cannulation Method: Real-World Data Analysis of the Hungarian ERCP Registry.Journal of clinical medicine · 2025Article
- Strategies for achieving successful cannulation in endoscopic retrograde cholangiopancreatography: A technical overview.World journal of gastrointestinal endoscopy · 2025Review
- Article
- Impact of major duodenal papilla morphology on the outcomes of primary needle-knife fistulotomy for deep biliary cannulation.Scientific reports · 2024Article
- Relationship of difficult endoscopic retrograde cholangiopancreatography cannulation and visual characteristics of papilla.JGH open : an open access journal of gastroenterology and hepatology · 2024Article
- Impact of Duodenal Papilla Morphology on the Success of Transpancreatic Precut Sphincterotomy.Journal of clinical medicine · 2024Article
- Comparison of ERCP Outcomes and Complication Risk between Elderly and Younger Patients: A Large Single-Center Study.Journal of clinical medicine · 2024Article
- Precut Over a Pancreatic Duct Stent Versus Transpancreatic Precut Sphincterotomy for Difficult Biliary Cannulation in Endoscopic Retrograde Cholangiopancreatography: A Retrospective Cohort Study.Digestive diseases and sciences · 2024Article
- Endoscopic ultrasound-guided biliary interventions.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite improvements in endoscopic technologies and accessories, development of advanced endoscopy fellowship programs, and advances in ancillary imaging techniques, biliary cannulation in endoscopic retrograde cholangiopancreatography (ERCP) can still be unsuccessful in up to 20% of patients, even in referral centers. Once cannulation has been deemed to be difficult, the risk of post-ERCP pancreatitis and technical failure inherently increases. A number of factors, including endoscopist experience and patient anatomy, have been associated with difficult biliary cannulation, but predicting a case of difficult cannulation a priori is often not possible. Numerous techniques such as pancreatic guidewire and stenting, early pre-cut, and rendezvous may be employed when standard approaches fail. Data regarding the rate of success and adverse events of these techniques have been variable, though most studies suggest that pancreatic duct stenting generally reduces the rate of post-ERCP pancreatitis in instances of difficult biliary cannulation. Here we provide a review on difficult biliary cannulation and discuss how the choice of which techniques to employ and how to best employ them should be individualized and take into account the skill of the endoscopist, the disorder being treated, the anatomy of the patient, and the available biomedical literature.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.