SynthesisScientific reports2024
Morphology of the papilla can predict procedural safety and efficacy of ERCP-a systematic review and meta-analysis.
Synthesis in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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.
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Who cites it
11 citing papers in PubMed, 13 citations in OpenAlex.
- Anatomy, Technique, and Pancreatic Injury During Pancreatic Guidewire-Assisted Cannulation: A Video-Based Perspective.Digestive diseases and sciences · 2026Article
- Video-Based Analysis of Risk Factors for Post-ERCP Pancreatitis in Pancreatic Guidewire-Assisted Biliary Cannulation.Digestive diseases and sciences · 2026Article
- 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
- Technical factors associated with biliary cannulation success after transpancreatic precut sphincterotomy.Endoscopy international open · 2026Article
- Advanced Biliary Cannulation Masterclasses Improve Self-reported Knowledge and Teaching Confidence in Needle-knife Fistulotomy.Endoscopy international open · 2026Article
- More Than Just a Complication: Post-ERCP Pancreatitis and Its Clinical Determinants in over 800 Procedures.Journal of clinical medicine · 2025Article
- Long-term prognosis and risk factors associated with 30-day unplanned repeated ERCP in patients with common bile duct stones.Therapeutic advances in gastroenterology · 2025Article
- Impact of major duodenal papilla morphology on the outcomes of primary needle-knife fistulotomy for deep biliary cannulation.Scientific reports · 2024Article
- Current Gallstone Treatment Methods, State of the Art.Diseases (Basel, Switzerland) · 2024Review
- ERCP-induced perforation: review and revisit after half a century.F1000Research · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Endoscopic Retrograde Cholangiopancreatography (ERCP) is the primary therapeutic procedure for pancreaticobiliary disorders, and studies highlighted the impact of papilla anatomy on its efficacy and safety. Our objective was to quantify the influence of papilla morphology on ERCP outcomes. We systematically searched three medical databases in September 2022, focusing on studies detailing the cannulation process or the rate of adverse events in the context of papilla morphology. The Haraldsson classification served as the primary system for papilla morphology, and a pooled event rate with a 95% confidence interval was calculated as the effect size measure. Out of 17 eligible studies, 14 were included in the quantitative synthesis. In studies using the Haraldsson classification, the rate of difficult cannulation was the lowest in type I papilla (26%), while the highest one was observed in the case of type IV papilla (41%). For post-ERCP pancreatitis, the event rate was the highest in type II papilla (11%) and the lowest in type I and III papilla (6-6%). No significant difference was observed in the cannulation failure and post-ERCP bleeding event rates between the papilla types. In conclusion, certain papilla morphologies are associated with a higher rate of difficult cannulation and post-ERCP pancreatitis.
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Registered trials
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