ArticleJGH open : an open access journal of gastroenterology and hepatology2025
Prophylactic Biliary Stenting After Stone Clearance Improves the Safety of Needle-Knife Fistulotomy: A Propensity Score-Matched Analysis.
Article in JGH open : an open access journal of gastroenterology and hepatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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
1 citing paper in PubMed.
- Prophylactic Biliary Stenting After Stone Clearance Improves the Safety of Needle-Knife Fistulotomy: A Propensity Score-Matched Analysis.JGH open : an open access journal of gastroenterology and hepatology · 2025Article
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Authors and funding
4 authors.
Funding
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Abstract
Objectives: Needle-knife fistulotomy is an advanced technique for gaining biliary access in endoscopic retrograde cholangiopancreatography (ERCP). This study assesses the hypothesis of whether biliary stenting after needle-knife fistulotomy could improve the safety of the ERCP. Methods: A retrospective review of the medical records of patients who referred for ERCP between 2021-2024 was performed. All patients with naïve papilla and choledocholithiasis who underwent needle-knife fistulotomy were included in the study. Patients were categorized into the two groups of with and without biliary stent. Results: Of the 402 included patients, 331 had successful stone extraction, among whom 50 (15.1%) and 281 (84.9%) recieved and not received a biliary stent, respectively. After 1:4 propensity score matching, age, sex, difficult cannulation, and pancreatic duct cannulation were comparable between the groups ( Conclusions: This is the first study investigating the impact of prophylactic biliary stenting after needle-knife fistulotomy, suggesting that prophylactic biliary stenting after needle-knife fistulotomy and successful stone removal may improve the safety of ERCP by reducing the rate of post-ERCP pancreatitis. Further large-scale prospective studies are warranted to validate these findings.
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