For patients with benign biliary disease and difficult bile duct cannulation, techniques have similar success rates<\/p>\n<\/h3>\n
By Elana Gotkine HealthDay Reporter<\/b><\/p>\n
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TUESDAY, Aug. 27, 2024 (HealthDay News) — For salvage for biliary access in patients with benign biliary disease and difficult bile duct cannulation, the endoscopic ultrasound-guided rendezvous technique (EUS-RV) and precut sphincterotomy have similar success rates and comparable, acceptable complication rates, according to a study published online Aug. 27 in the Annals of Internal Medicine<\/em>.<\/p>\n Arup Choudhury, M.D., from the Postgraduate Institute of Medical Education and Research in Chandigarh, India, and colleagues compared EUS-RV and precut sphincterotomy as salvage techniques for difficult bile duct cannulation in benign biliary obstruction in a parallel-group, superiority, randomized controlled trial. Patients were randomly assigned to EUS-RV or precut sphincterotomy (50 patients to each group); those with failure in EUS-RV were crossed over to precut sphincterotomy and vice versa.<\/p>\n The researchers found that the two groups had similar technical success rates (92 versus 90 percent; relative risk, 1.02; 95 percent confidence interval, 0.90 to 1.16), median procedure times (10.1 versus 9.75 minutes), and overall complication rates (12 versus 10 percent; relative risk, 1.20; 95 percent confidence interval, 0.39 to 3.68). Five patients in the EUS-RV and five in the precut sphincterotomy groups developed postendoscopic retrograde cholangiopancreatography pancreatitis. When crossed over to the other group, all failed cases in either salvage group could be successfully cannulated.<\/p>\n “EUS-RV is not superior to precut sphincterotomy as a salvage technique for difficult bile duct cannulation in benign biliary diseases, and has a similar adverse event profile to precut sphincterotomy,” the authors write.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n <\/i><\/p>\n