SynthesisDigestive diseases and sciences2019
Transpancreatic Sphincterotomy Is Effective and Safe in Expert Hands on the Short Term.
Synthesis in Digestive diseases and sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Systematic review and network meta-analysis: comparison of different techniques for difficult biliary cannulation.BMC gastroenterology · 2026Pooled it
- Pancreatic guidewire-assisted fistulotomy versus transpancreatic biliary sphincterotomy in difficult biliary cannulation with unintentional pancreatic duct cannulation: A randomized clinical trial.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025Trial
- 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
- Technical factors associated with biliary cannulation success after transpancreatic precut sphincterotomy.Endoscopy international open · 2026Article
- Comparison of preferred double guidewire technique and transpancreatic sphincterotomy for difficult biliary cannulation.Scientific reports · 2025Article
- 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
- Rescue cannulation techniques in difficult biliary access-A comprehensive review.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025Review
- 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
- "Salvage techniques" are the key to overcome difficult biliary cannulation in endoscopic retrograde cholangiopancreatography.Scientific reports · 2022Article
- Difficult Biliary Cannulation in Endoscopic Retrograde Cholangiopancreatography: An Overview of Advanced Techniques.European medical journal. Hepatology · 2021Article
- Propensity score-matched analysis for comparing transpancreatic sphincterotomy and needle-knife precut in difficult biliary cannulation.Scientific reports · 2021Article
- Transpancreatic Sphincterotomy: "I Don't Get No Respect".Digestive diseases and sciences · 2021Article
- Advances in Biliary Access.Current gastroenterology reports · 2020Review
- Comparing the Efficacy and Safety of Transpancreatic Sphincterotomy, Double-Guidewire, and Precut Techniques: Which One Makes the Cut?Digestive diseases and sciences · 2019Article
- Efficacy and safety of transpancreatic sphincterotomy in endoscopic retrograde cholangiopancreatography: a retrospective cohort study.Annals of gastroenterologyArticle
Corrections and comments
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Authors and funding
13 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In cases of difficult biliary cannulation, transpancreatic sphincterotomy (TPS) can be an alternative approach of biliary access. However, its success and safety profile have not been studied in detail. A systematic review and meta-analysis were performed to study the overall cannulation success and adverse events of TPS. These outcomes were also compared to other advanced cannulation methods. A systematic literature search was conducted to find all relevant articles containing data on TPS. Successful biliary cannulation and complications rates [post-ERCP pancreatitis (PEP), bleeding, and perforation rates] were compared in the pooled analyses of prospective comparative studies. The overall outcomes were calculated involving all studies on TPS. TPS was superior compared to needle-knife precut papillotomy (NKPP) and the double-guidewire method (DGW) regarding cannulation success (odds ratio [OR] 2.32; 95% confidence interval [CI] 1.37-3.93; and OR 2.72; 95% CI 1.30-5.69, respectively). The rate of PEP did not differ between TPS and NKPP or DGW; however, TPS (only retrospective studies were available for comparison) proved to be worse than needle-knife fistulotomy in this regard (OR 4.62; 95% CI 1.36-15.72). Bleeding and perforation rates were similar among these advanced techniques. There were no data about long-term consequences of TPS. The biliary cannulation rate of TPS is higher than that of the other advanced cannulation techniques, while the safety profile is similar to those. However, no long-term follow-up studies are available on the later consequences of TPS; therefore, such studies are strongly needed for its full evaluation.
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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.