ArticleClinical endoscopy2022
Factors Predicting Difficult Biliary Cannulation during Endoscopic Retrograde Cholangiopancreatography for Common Bile Duct Stones.
Article in Clinical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06591364 (Prevalence and Predictive Factors of Difficult Biliary Cannulation), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Prevalence and Predictive Factors of Difficult Biliary Cannulation: a Multicenter Study
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 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
- Biliary endoscopic drainage of septic ICU patients deemed emergent (BEDSIDE): a retrospective cohort study (2012-2022).BMC gastroenterology · 2026Article
- Difficult biliary cannulation among patients with compensated liver cirrhosis: predictors and impact on complications.Scientific reports · 2026Article
- A stepwise cannulation strategy for conservative endoscopists: the clinical impact of transpancreatic precut after pancreatic stenting in a retrospective study from Taiwan.Clinical endoscopy · 2026Article
- Technical factors associated with biliary cannulation success after transpancreatic precut sphincterotomy.Endoscopy international open · 2026Article
- Transpancreatic precut sphincterotomy during ERCP: Learnability and outcomes across operator volumes and experience.Endoscopy international open · 2026Article
- Strategies for achieving successful cannulation in endoscopic retrograde cholangiopancreatography: A technical overview.World journal of gastrointestinal endoscopy · 2025Review
- Unsedated emergent ERCP is feasible and efficient for acute cholangitis in old patients over 80 years.Surgical endoscopy · 2025Article
- Article
- Development of a Scoring System for Predicting the Difficulty of Bile Duct Cannulation and Selecting the Appropriate Cannulation Method.Digestive diseases and sciences · 2025Article
- [Quality Indicators of Endoscopic Retrograde Cholangiopancreatography in Korea].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2024Review
- Quality Indicators of Endoscopic Retrograde Cholangiopancreatography in Korea.Gut and liver · 2024Review
- Predictive factors of difficult biliary cannulation: An experience of a tunisian tertiary center.Heliyon · 2022Article
- Second endoscopic retrograde cholangiopancreatography after failure of initial biliary cannulation: A single institution retrospective experience.Experimental and therapeutic medicine · 2022Article
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
aimsDifficult biliary cannulation is an important risk factor for post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP). Therefore, this study aimed to identify the factors that predict difficult cannulation for common bile duct stones (CBDS) to reduce the risk for PEP.
methodsThis multicenter retrospective study included 1,406 consecutive patients with native papillae who underwent ERCP for CBDS. Factors predicting difficult cannulation for CBDS were identified using univariate and multivariate analyses.
resultsUnivariate analysis showed that six factors significantly predicted difficult cannulation: ERCP performed by non-expert endoscopists, low-volume center, absence of acute cholangitis, normal serum bilirubin, intradiverticular papilla, and type of major duodenal papilla. Multivariate analysis identified ERCP performed by non-expert endoscopists (odds ratio [OR], 2.5; p<0.001), low-volume center (OR, 1.6; p<0.001), intradiverticular papilla (OR, 1.3; p=0.007), normal serum bilirubin (OR, 1.3; p=0.038), and absence of acute cholangitis (OR, 1.3; p=0.049) as factors significantly predicting difficult cannulation for CBDS.
conclusionInitial cannulation by an experienced endoscopist, early rescue cannulation, or early takeover by an experienced endoscopist should be considered when performing ERCP for CBDS in the presence of factors predicting difficult cannulation.
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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.