{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T20:36:48Z","timestamp":1716842208954},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,2,19]],"date-time":"2014-02-19T00:00:00Z","timestamp":1392768000000},"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":[[2014,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>Despite the benefits of endoscopic nasobiliary drainage (<jats:styled-content style=\"fixed-case\">NBD<\/jats:styled-content>) in endoscopic retrograde cholangiopancreatography (<jats:styled-content style=\"fixed-case\">ERCP<\/jats:styled-content>), post\u2010<jats:styled-content style=\"fixed-case\">ERCP<\/jats:styled-content> pancreatitis (<jats:styled-content style=\"fixed-case\">PEP<\/jats:styled-content>) and nose\/throat discomfort can result. We aimed to determine whether the use of a smaller catheter alleviates these complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A randomized, controlled trial at a tertiary care center compared 4 <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>r and 6 <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>r <jats:styled-content style=\"fixed-case\">NBD<\/jats:styled-content> catheters; 165 <jats:styled-content style=\"fixed-case\">ERCP<\/jats:styled-content> patients with na\u00efve papillae were randomly assigned to a catheter\u2010size group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of <jats:styled-content style=\"fixed-case\">PEP<\/jats:styled-content> was significantly lower in the 4 <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>r group (3.7%; 3\/82) than in the 6 <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>r group (15.7%; 13\/83; <jats:italic>P<\/jats:italic>\u2009=\u20090.019). No spontaneous catheter displacement occurred within 24\u2009h. Discomfort visual analog scores were 2.6 and 4.3 in the 4 <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>r and 6 <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>r groups, respectively (<jats:italic>P<\/jats:italic>\u2009=\u20090.0048) on procedure day; on the following day, the scores were 2.3 and 3.6 (<jats:italic>P<\/jats:italic>\u2009=\u20090.028). Bile output was 16.3\u2009<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>\/h and 21.4\u2009<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>\/h in the 4 <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>r and 6 <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>r groups (<jats:italic>P<\/jats:italic>\u2009=\u20090.051). On obstructive jaundice subgroup analysis, bile drainage was 19.2\u2009<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>\/h and 22.1\u2009<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>\/h in the 4 <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>r and 6 <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>r groups (<jats:italic>P<\/jats:italic>\u2009=\u20090.40). The 4 <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>r group required 5.6 days to reduce bilirubin levels <jats:italic>versus<\/jats:italic> 6.1 days in the 6 <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>r group (<jats:italic>P<\/jats:italic>\u2009=\u20090.51).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In patients with na\u00efve papillae, lower rates of <jats:styled-content style=\"fixed-case\">PEP<\/jats:styled-content> and less nose\/throat discomfort are associated with the use of 4 <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>r <jats:styled-content style=\"fixed-case\">NBD<\/jats:styled-content> catheters. In patients with obstructive jaundice, 4 <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>r and 6 <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>r catheters are comparable with regard to bile output and bilirubin level reduction.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jgh.12427","type":"journal-article","created":{"date-parts":[[2013,11,13]],"date-time":"2013-11-13T11:41:36Z","timestamp":1384342896000},"page":"653-659","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["A comparative study of 4 <scp>F<\/scp>r <i>versus<\/i> 6 <scp>F<\/scp>r nasobiliary drainage catheters: A randomized, controlled trial"],"prefix":"10.1111","volume":"29","author":[{"given":"Takashi","family":"Ishigaki","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Metabolism Hiroshima University Hospital  Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamito","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Metabolism Hiroshima University Hospital  Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Serikawa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Metabolism Hiroshima University Hospital  Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoyuki","family":"Minami","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Metabolism Hiroshima University Hospital  Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akihito","family":"Okazaki","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Metabolism Hiroshima University Hospital  Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masanobu","family":"Yukutake","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Metabolism Hiroshima University Hospital  Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasutaka","family":"Ishii","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Metabolism Hiroshima University Hospital  Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiichi","family":"Kosaka","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Metabolism Hiroshima University Hospital  Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teruo","family":"Mouri","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Metabolism Hiroshima University Hospital  Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Yoshimi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Metabolism Hiroshima University Hospital  Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuaki","family":"Chayama","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Metabolism Hiroshima University Hospital  Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,2,19]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.20.4.285"},{"key":"e_1_2_5_3_1","first-page":"389","article-title":"Endoscopic nasobiliary catheter drainage in biliary and pancreatic disease","volume":"86","author":"Leung JW","year":"1991","journal-title":"Am. 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