{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T16:01:58Z","timestamp":1758124918784},"reference-count":31,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2013,10,22]],"date-time":"2013-10-22T00:00:00Z","timestamp":1382400000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2013,11]]},"abstract":"Abstract<\/jats:title>Background and Aims<\/jats:title>Pancreatic duct guidewire placement (P<\/jats:styled-content>\u2010GW<\/jats:styled-content>) techniques include both the injection cannulation technique with a contrast medium and wire\u2010guided cannulation without contrast injection for selective biliary cannulation; the latter is the so\u2010called \u201cdouble\u2010guidewire technique\u201d (D<\/jats:styled-content>\u2010GW<\/jats:styled-content>). The aim of this study was to compare the outcomes between P<\/jats:styled-content>\u2010GW<\/jats:styled-content> and D<\/jats:styled-content>\u2010GW<\/jats:styled-content> for biliary cannulation.<\/jats:p><\/jats:sec>Methods<\/jats:title>The procedures for biliary cannulation with a na\u00efve papilla were performed in a total of 363 cases. We divided the patients chronologically, according to the time period during which the procedures were performed, into two groups: group A<\/jats:styled-content>, P<\/jats:styled-content>\u2010GW<\/jats:styled-content> performed from M<\/jats:styled-content>arch 2008 to J<\/jats:styled-content>une 2009; and group B<\/jats:styled-content>, D<\/jats:styled-content>\u2010GW<\/jats:styled-content> performed from J<\/jats:styled-content>uly 2009 to D<\/jats:styled-content>ecember 2010. The success rates and complication rates were evaluated in each group.<\/jats:p><\/jats:sec>Results<\/jats:title>Biliary cannulation was successful in 31 (81.6%) patients in the P<\/jats:styled-content>\u2010GW<\/jats:styled-content> group and 34 patients (82.9%) in the D<\/jats:styled-content>\u2010GW<\/jats:styled-content> group. The onsets of postendoscopic retrograde cholangiopancreatography pancreatitis (PEP<\/jats:styled-content>) occurred in the P<\/jats:styled-content>\u2010GW<\/jats:styled-content> and D<\/jats:styled-content>\u2010GW<\/jats:styled-content> groups were four (10.5%) and three (7.3%) patients, respectively, and all were mild cases (P<\/jats:styled-content><\/jats:italic>\u2009=\u20090.616). The frequency of hyperamylasemia and the serum amylase level tended to be lower in the D<\/jats:styled-content>\u2010GW<\/jats:styled-content> group than in the P<\/jats:styled-content>\u2010GW<\/jats:styled-content> group (P<\/jats:styled-content><\/jats:italic>\u2009=\u20090.213). There was a statistically significant difference on the onsets of PEP<\/jats:styled-content> in the GW<\/jats:styled-content> and non\u2010GW<\/jats:styled-content> groups (P<\/jats:styled-content><\/jats:italic>\u2009=\u20090.04, 8.9% and 1.1%, respectively).<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Both the D<\/jats:styled-content>\u2010GW<\/jats:styled-content> and P<\/jats:styled-content>\u2010GW<\/jats:styled-content> techniques were equally effective for difficult biliary cannulation. Furthermore, the complication rates, including PEP<\/jats:styled-content>, were similar in both techniques. A prospective randomized trial is warranted.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jgh.12303","type":"journal-article","created":{"date-parts":[[2013,6,26]],"date-time":"2013-06-26T01:24:11Z","timestamp":1372209851000},"page":"1787-1793","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Is the double\u2010guidewire technique superior to the pancreatic duct guidewire technique in cases of pancreatic duct opacification?"],"prefix":"10.1111","volume":"28","author":[{"given":"Reina","family":"Tanaka","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takao","family":"Itoi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Sofuni","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fumihide","family":"Itokawa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshio","family":"Kurihara","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takayoshi","family":"Tsuchiya","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shujiro","family":"Tsuji","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kentaro","family":"Ishii","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuhito","family":"Ikeuchi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junko","family":"Umeda","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryosuke","family":"Tonozuka","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsuyoshi","family":"Honjo","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuntaro","family":"Mukai","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fuminori","family":"Moriyasu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,10,22]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(04)00363-3"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2007.01378.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-995566"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-995483"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2008.04.064"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2009.269"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2009.08.007"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/00365521.2010.521889"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2011.10.012"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(04)02463-0"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1001379"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1067\/mge.2001.113387"},{"key":"e_1_2_6_14_1","first-page":"828","article-title":"A technique for selective cannulation of the common bile duct in endoscopic retrograde cholangiopancreatography. 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