{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T09:58:55Z","timestamp":1649152735220},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"11","license":[{"start":{"date-parts":[[2021,11,12]],"date-time":"2021-11-12T00:00:00Z","timestamp":1636675200000},"content-version":"vor","delay-in-days":11,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background and study aims\u2002Current clinical guidelines recommend needle-knife precut (NKP) as the primary and best method for performing a biliary cannulation (BC) when simple techniques fail and the criteria are met for difficult BC (DBC). However, many endoscopists avoid or defer early NKP in favor of alternative, simpler techniques that have not been shown to be either safer or more effective. Our goal is to test a device that provides the needle-knife papillotome (NKPT) with traction capability and which can facilitate the learning and execution of NKP.<\/jats:p><jats:p>\n          Patients and methods\u2002This was a descriptive bicentric observational study of a personal cohort of patients undergoing early NKP to analyse the efficacy and safety of the technique with a \u201chybrid-tome\u201d (HT) built using the isolated core of a NKPT and a conventional canulotome.<\/jats:p><jats:p>\n          Results\u2002Over a 4-year period, we performed 43 NKPs with the HT, achieving BC in one or two steps in all cases. The 100\u200a% technical success was matched by a 95\u200a% clinical success rate. We recorded 11 adverse events (23\u200a%): five hemorrhages, four pancreatitis, and two cholangitis. In addition to the objective data, we confirmed that HT facilitates alignment with the duodenal papilla and the execution of pre-cutting, especially if the papilla is intradiverticular or hidden by folds.<\/jats:p><jats:p>\n          Conclusions\u2002The HT tested seems to help trained endoscopists to perform NKP, especially in some anatomic situations, which can improve compliance with the guidelines recommended for early NKP in patients with DBC.<\/jats:p>","DOI":"10.1055\/a-1552-3202","type":"journal-article","created":{"date-parts":[[2021,11,12]],"date-time":"2021-11-12T23:51:01Z","timestamp":1636761061000},"page":"E1611-E1616","source":"Crossref","is-referenced-by-count":0,"title":["Initial experience with a homemade \u201chybrid-tome\u201d for needle-knife precut in patients with difficult biliary cannulation"],"prefix":"10.1055","volume":"09","author":[{"given":"Emilio J.","family":"De la Morena Madrigal","sequence":"additional","affiliation":[{"name":"Digestive Medicine and Endoscopy Division, Academical Hospital \u201cla Zarzuela,\u201d Francisco de Vitoria University, Madrid, Spain"},{"name":"Digestive Endoscopy Unit, Academical Hospital \u201cla Moncloa,\u201d Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel","family":"Rodr\u00edguez Garc\u00eda","sequence":"additional","affiliation":[{"name":"Digestive Medicine and Endoscopy Division, Academical Hospital \u201cla Zarzuela,\u201d Francisco de Vitoria University, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Bel\u00e9n","family":"Galera R\u00f3denas","sequence":"additional","affiliation":[{"name":"Digestive Medicine and Endoscopy Division, Academical Hospital \u201cla Zarzuela,\u201d Francisco de Vitoria University, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"P\u00e9rez Arellano","sequence":"additional","affiliation":[{"name":"Digestive Medicine and Endoscopy Division, Academical Hospital \u201cla Zarzuela,\u201d Francisco de Vitoria University, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,11,12]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1055\/s-0042-108641","article-title":"Papillary cannulation and sphincterotomy techniques at ERCP: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline","volume":"48","author":"P A Testoni","year":"2016","journal-title":"Endoscopy"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1016\/j.gie.2016.09.037","article-title":"International consensus recommendations for difficult biliary access","volume":"85","author":"W Liao","year":"2017","journal-title":"Gastrointest Endosc"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"5918","DOI":"10.3748\/wjg.v21.i19.5918","article-title":"Needle-knife fistulotomy vs double-guidewire technique in patients with repetitive unintentional pancreatic cannulations","volume":"21","author":"S J Kim","year":"2015","journal-title":"World J Gastroenterol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"2670","DOI":"10.1007\/s00464-010-1033-y","article-title":"Does precut technique improve selective bile duct cannulation or increase post-ERCP pancreatitis rate? A meta-analysis of randomized controlled trials","volume":"24","author":"B Gong","year":"2010","journal-title":"Surg Endosc"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"4093","DOI":"10.3748\/wjg.v20.i14.4093","article-title":"Effect of precut sphincterotomy on post-endoscopic retrograde cholangiopancreatography pancreatitis: a systematic review and meta-analysis","volume":"20","author":"A Choudhary","year":"2014","journal-title":"World J Gastroenterol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"200","DOI":"10.4253\/wjge.v6.i5.200","article-title":"Early precut sphincterotomy and the risk of endoscopic retrograde cholangiopancreatography related complications: an updated meta-analysis","volume":"6","author":"U Navaneethan","year":"2014","journal-title":"World J Gastrointest Endosc"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1722","DOI":"10.1016\/j.cgh.2015.06.035","article-title":"Early precut sphincterotomy does not increase risk during endoscopic retrograde cholangiopancreatography in patients with difficult biliary access: a meta-analysis of randomized controlled trials","volume":"13","author":"P Sundaralingam","year":"2015","journal-title":"Clin Gastroenterol Hepatol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1016\/j.gie.2014.01.017","article-title":"Reflections on needle-knife papillotomy","volume":"79","author":"J Baillie","year":"2014","journal-title":"Gastrointest Endosc"},{"key":"ref9","first-page":"74","article-title":"Biliary cannulation effectiveness and pancreatitis risk using two early precut techniques","volume":"110","author":"Madrigal EJ Morena","year":"2018","journal-title":"Rev Esp Enferm Dig"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1016\/j.gie.2009.10.027","article-title":"A lexicon for endoscopic adverse events: report of an ASGE workshop","volume":"71","author":"P B Cotton","year":"2010","journal-title":"Gastrointest Endosc"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"AB201","DOI":"10.1016\/j.gie.2018.04.1447","article-title":"A \u201cHybrid-tome\u201d for biliary needle-knife precut: Preliminary results","volume":"870","author":"E J Morena-Madrigal","year":"2018","journal-title":"Gastrointest Endosc"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"E396","DOI":"10.1055\/s-0042-120706","article-title":"A novel combined needle-knife and standard sphincterotome: the dualtome","volume":"48","author":"M Keskin","year":"2016","journal-title":"Endoscopy"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S0016-5107(98)70121-X","article-title":"Major early complications from diagnostic and therapeutic ERCP: a prospective multicenter study","volume":"48","author":"S Loperfido","year":"1998","journal-title":"Gastrointest Endosc"}],"container-title":["Endoscopy International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1552-3202.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,11,12]],"date-time":"2021-11-12T23:51:51Z","timestamp":1636761111000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1552-3202"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11]]},"references-count":13,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2021,10,25]]},"published-print":{"date-parts":[[2021,11]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1552-3202","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2364-3722","2196-9736"],"issn-type":[{"value":"2364-3722","type":"print"},{"value":"2196-9736","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11]]}}}