{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T10:28:12Z","timestamp":1761992892643,"version":"build-2065373602"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,10,17]],"date-time":"2016-10-17T00:00:00Z","timestamp":1476662400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Digestive Endoscopy"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>Endoscopic access to the common bile duct (<jats:styled-content style=\"fixed-case\">CBD<\/jats:styled-content>) remains difficult in 10% of cases, requiring alternative techniques .CBD access was difficult after either five unsuccessful attempts, five unintentional insertions into the pancreatic duct or &gt;10\u2010min\u2010long unsuccessful attempts. This retrospective study with historical controls aimed to evaluate the benefit of the double guidewire (<jats:styled-content style=\"fixed-case\">DGW<\/jats:styled-content>) technique after failure of standard CBD cannulation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From January 2012 to December 2014, all patients requiring therapeutic endoscopic retrograde cholangiopancreatography (<jats:styled-content style=\"fixed-case\">ERCP<\/jats:styled-content>) with difficult access to <jats:styled-content style=\"fixed-case\">CBD<\/jats:styled-content> were included in a Studied group. This group was compared to a historical ERCP control group from January 2009 to December 2011. In the Studied group, a sequential strategy including <jats:styled-content style=\"fixed-case\">DGW<\/jats:styled-content> technique was done when the guidewire was unintentionally passed into the pancreatic duct. In the control group, only pre\u2010cut technique was used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 538 patients with naive papilla eligible for <jats:styled-content style=\"fixed-case\">ERCP<\/jats:styled-content>, 73 had difficult <jats:styled-content style=\"fixed-case\">CBD<\/jats:styled-content> access. Successful <jats:styled-content style=\"fixed-case\">CBD<\/jats:styled-content> access rate was higher in the Studied group: 91% (50\/55) versus 67% (12\/18) <jats:italic>P<\/jats:italic> = 0.0215. Complication rates were similar in both groups: 28% versus 20%, <jats:italic>P<\/jats:italic> = 0.5207. <jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content> was shorter in the Studied group (9.2 \u00b1 8.5 <jats:italic>vs<\/jats:italic> 14.4 \u00b1 7.4 days, <jats:italic>P<\/jats:italic> = 0.0028). Post\u2010<jats:styled-content style=\"fixed-case\">ERCP<\/jats:styled-content> cholangitis were lower in the Studied group: 2% (1\/55) versus 22% (4\/18), <jats:italic>P<\/jats:italic> = 0.0118.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>After standard cannulation failure, <jats:styled-content style=\"fixed-case\">DGW<\/jats:styled-content> technique increased successful <jats:styled-content style=\"fixed-case\">CBD<\/jats:styled-content> access rate and decreased <jats:styled-content style=\"fixed-case\">LOS<\/jats:styled-content> without increasing complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/den.12740","type":"journal-article","created":{"date-parts":[[2016,9,17]],"date-time":"2016-09-17T07:48:54Z","timestamp":1474098534000},"page":"182-189","source":"Crossref","is-referenced-by-count":12,"title":["Double guidewire endoscopic technique, a major evolution in endoscopic retrograde cholangiopancreatography: Results of a retrospective study with historical controls comparing two therapeutic sequential strategies"],"prefix":"10.1111","volume":"29","author":[{"given":"Arthur","family":"Laquiere","sequence":"first","affiliation":[{"name":"Hepato\u2010Gastroenterology Department Saint Joseph Hospital Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Etienne","family":"Desilets","sequence":"additional","affiliation":[{"name":"Hepato\u2010Gastroenterology Department Saint Joseph Hospital Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arthur","family":"Belle","sequence":"additional","affiliation":[{"name":"Hepato\u2010Gastroenterology Department Saint Joseph Hospital Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Castellani","sequence":"additional","affiliation":[{"name":"Hepato\u2010Gastroenterology Department Saint Joseph Hospital Marseille 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Soci\u00e9t\u00e9 Nationale Fran\u00e7aise de Gastroent\u00e9rologie;2010. 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