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A Novel Round Insulated Tip Papillotome as an Alternative to the Classic Needle-Knife for Precut Sphincterotomy in Endoscopic Retrograde Cholangiopancreatography

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dc.contributor.authorBAYSAL, Birol
dc.contributor.authorAkin, Hakan
dc.contributor.authorMASRI, Omar
dc.contributor.authorInce, ALİ TÜZÜN
dc.contributor.authorSenturk, HAKAN
dc.contributor.institutionauthorİNCE, ALİ TÜZÜN
dc.contributor.institutionauthorŞENTÜRK, HAKAN
dc.date.accessioned2019-10-05T22:14:57Z
dc.date.available2019-10-05T22:14:57Z
dc.date.issued2015-01-01
dc.description.abstractObjective. The purpose of this study was to investigate the efficacy and safety of a new round insulated tip papillotome (r-ITP) as compared to that of the classic needle-knife sphincterotome (NKS) in difficult-to-cannulate endoscopic retrograde cholangiopancreatography (ERCP) patients. Materials and Methods. Patients with no exclusion criteria and an intact papilla referred for ERCP were invited to participate in the study. "Difficult-to-cannulate" patients, defined as failure to achieve deep biliary cannulation within five minutes from the first touch of papilla, with no more than ten attempts permitted, were randomly assigned for precut sphincterotomy using either the classic NKS or r-ITP. Results. Seventy and 69 patients were randomly assigned to the NKS and r-ITP groups, respectively. The groups were comparable regarding age, sex, indications, and associated conditions. There was no statistically significant difference in terms of successful cannulation or post-ERCP complications between the two groups. Only five patients (3.6%) developed mild to moderate post-ERCP pancreatitis and two had mild bleeding. No perforations or deaths were encountered. Conclusions. Although the round insulated tip papillotome was not shown to be superior to the classic NKS concerning efficacy and safety when used by an experienced endoscopist, it remains a simple, safe, and efficacious alternative.en
dc.identifier10.1097/paf.0000000000000167
dc.identifier.citationBAYSAL B., Akin H., MASRI O., Ince A. T. , Senturk H., -A Novel Round Insulated Tip Papillotome as an Alternative to the Classic Needle-Knife for Precut Sphincterotomy in Endoscopic Retrograde Cholangiopancreatography-, GASTROENTEROLOGY RESEARCH AND PRACTICE, 2015
dc.identifier.doi10.1155/2015/972041
dc.identifier.pubmed26347424
dc.identifier.scopus84940380107
dc.identifier.urihttps://hdl.handle.net/20.500.12645/9211
dc.identifier.wosWOS:000360498000001
dc.language.isoen
dc.rightsinfo:eu-repo/semantics/openAccessen
dc.subjectCholangiopancreatography
dc.titleA Novel Round Insulated Tip Papillotome as an Alternative to the Classic Needle-Knife for Precut Sphincterotomy in Endoscopic Retrograde Cholangiopancreatography
dc.typeArticle
dspace.entity.typePublication
local.article.journalnameAMERICAN JOURNAL OF FORENSIC MEDICINE AND PATHOLOGY
local.avesis.ide5354a39-c017-4f56-b443-8ece49702587
local.avesis.response9087
local.publication.isinternational1
relation.isAuthorOfPublication6daa6ab7-ee45-4f50-9e71-e831046b6462
relation.isAuthorOfPublication278fcf63-3b92-4368-bff6-f140ebd9aeb3
relation.isAuthorOfPublication.latestForDiscovery278fcf63-3b92-4368-bff6-f140ebd9aeb3
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