{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T04:25:14Z","timestamp":1765772714306},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,11,11]],"date-time":"2014-11-11T00:00:00Z","timestamp":1415664000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Department of No. 1 Surgery, The First Hospital Affiliated to Anhui Chinese Medical University, Hefei, China"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Digestive Endoscopy"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>The aim of the present study was to compare the effectiveness and complications of the double\u2010guidewire technique (<jats:styled-content style=\"fixed-case\">DWT<\/jats:styled-content>) with the transpancreatic sphincterotomy (<jats:styled-content style=\"fixed-case\">TPS<\/jats:styled-content>) technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2013 to <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ecember 2014, 366 consecutive endoscopic retrograde cholangiopancreatography (<jats:styled-content style=\"fixed-case\">ERCP<\/jats:styled-content>) procedures were carried out. Of 366 procedures, 354 procedures were carried out in patients with native major papilla biliary cannulation. A total of 279 consecutive therapeutic <jats:styled-content style=\"fixed-case\">ERCP<\/jats:styled-content> were included in the study and data of included patients were collected retrospectively. One hundred and thirty\u2010seven procedures (49.1%) were done with <jats:styled-content style=\"fixed-case\">DWT<\/jats:styled-content> and 142 procedures (50.9%) were done with <jats:styled-content style=\"fixed-case\">TPS<\/jats:styled-content> for patients with difficult cannulation. The results and complications of <jats:styled-content style=\"fixed-case\">ERCP<\/jats:styled-content> were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Success rate of first\u2010attempt cannulation was 62.0% in the <jats:styled-content style=\"fixed-case\">DWT<\/jats:styled-content> group and 81.0% in the <jats:styled-content style=\"fixed-case\">TPS<\/jats:styled-content> group (<jats:italic>P<\/jats:italic>\u2009=\u20090.00). Final rate of successful cannulation of the two biliary cannulation techniques was 86.9% and 90.8%, respectively (<jats:italic>P<\/jats:italic>\u2009=\u20090.09). Cannulation time in the <jats:styled-content style=\"fixed-case\">DWT<\/jats:styled-content> group was 7.8\u2009\u00b1\u20091.7\u2009min compared with 3.7\u2009\u00b1\u20092.3\u2009min in the <jats:styled-content style=\"fixed-case\">TPS<\/jats:styled-content> group (<jats:italic>P<\/jats:italic>\u2009=\u20090.00). Overall incidence of post\u2010<jats:styled-content style=\"fixed-case\">ERCP<\/jats:styled-content> pancreatitis (<jats:styled-content style=\"fixed-case\">PEP<\/jats:styled-content>), hemorrhage, perforation and cholangitis was 1.8%, 1.1%, 0.4% and 1.1%, respectively. Adverse event rate was 2.19% in the <jats:styled-content style=\"fixed-case\">DWT<\/jats:styled-content> group and 7.04% in the <jats:styled-content style=\"fixed-case\">TPS<\/jats:styled-content> group (<jats:italic>P<\/jats:italic>\u2009=\u20090.04).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">DWT<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">TPS<\/jats:styled-content> procedures were safe and effective. Overall cannulation rate was similar between the groups. Although <jats:styled-content style=\"fixed-case\">DWT<\/jats:styled-content> had a longer cannulation time, it could be considered the preferred technique in patients with failed standard cannulation for lower adverse event rate.<\/jats:p><\/jats:sec>","DOI":"10.1111\/den.12387","type":"journal-article","created":{"date-parts":[[2014,10,6]],"date-time":"2014-10-06T07:46:00Z","timestamp":1412581560000},"page":"381-387","source":"Crossref","is-referenced-by-count":15,"title":["Comparison between double\u2010guidewire technique and transpancreatic sphincterotomy technique for difficult biliary cannulation"],"prefix":"10.1111","volume":"27","author":[{"given":"Long","family":"Huang","sequence":"first","affiliation":[{"name":"Department of No. 1 Surgery The First Hospital Affiliated to Anhui Chinese Medical University  Hefei China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qing\u2010sheng","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of No. 1 Surgery The First Hospital Affiliated to Anhui Chinese Medical University  Hefei China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of No. 1 Surgery The First Hospital Affiliated to Anhui Chinese Medical University  Hefei China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ju\u2010da","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of No. 1 Surgery The First Hospital Affiliated to Anhui Chinese Medical University  Hefei China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhen","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of No. 1 Surgery The First Hospital Affiliated to Anhui Chinese Medical University  Hefei China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,11,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-009-1134-x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v13.i27.3734"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-012-2271-8"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.giec.2012.12.012"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/den.12274"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/den.12250"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v20.i2.607"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/146867"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2012.470"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v19.i36.6026"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2003-36403"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-012-2768-4"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(91)70740-2"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/gastro\/got024"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgh.12210"},{"key":"e_1_2_7_17_1","first-page":"53","article-title":"Difficult cannulation: what should I do before EUS guided access?","volume":"34","author":"Artifon EL","year":"2014","journal-title":"Rev. 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