{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T14:09:21Z","timestamp":1790172561331,"version":"4.1.0"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T00:00:00Z","timestamp":1776384000000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["DEN Open"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We aimed to evaluate the capability of a novel all\u2010in\u2010one sphincterotome in various procedures related to endoscopic retrograde cholangiopancreatography (ERCP), including procedures in patients with surgically altered anatomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 108 patients who underwent ERCP using the novel all\u2010in\u2010one sphincterotome (ENGETSU; Kaneka Medix, Tokyo, Japan) between November 2023 and December 2024 were included in this retrospective analysis. We evaluated the success rates of bile duct cannulation and endoscopic sphincterotomy (EST) as well as the incidence of procedure\u2010related adverse events (AEs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Bile duct cannulation was performed in patients with native papillae, including 30 patients with normal anatomy, three with Billroth I reconstruction, one with Billroth II reconstruction, and six with Roux\u2010en\u2010Y reconstruction. The overall cannulation success rate was 72.5%, with a median cannulation time of 3 min. EST was performed in 65 patients with normal anatomy, three with Billroth I reconstruction, and 13 with Roux\u2010en\u2010Y reconstruction, with an overall success rate of 98.8%. Procedure\u2010related AEs were observed in four patients with post\u2010ERCP pancreatitis, three with post\u2010EST bleeding, and one with cholangitis; all patients recovered and were discharged. Among 14 patients in whom deep biliary cannulation failed when using the conventional ERCP cannula, subsequent use of the novel device during second\u2010line cannulation led to successful cannulation in 13 patients (92.9%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The novel all\u2010in\u2010one sphincterotome demonstrated the capability to perform various ERCP\u2010related procedures, including in patients with surgically altered anatomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>UMIN000058337.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/deo2.70333","type":"journal-article","created":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T12:00:54Z","timestamp":1776427254000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Capability of a Novel All\u2010in\u2010One Sphincterotome With High Rotation and a Freely Bendable Blade for Various Endoscopic Retrograde Cholangiopancreatography\u2010Related Procedures"],"prefix":"10.1002","volume":"6","author":[{"given":"Yasuhito","family":"Kunogi","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Dokkyo Medical University School of Medicine  Mibu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Irisawa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Dokkyo Medical University School of Medicine  Mibu 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