{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T20:56:29Z","timestamp":1789419389478,"version":"build-2803163510"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,4,21]],"date-time":"2016-04-21T00:00:00Z","timestamp":1461196800000},"content-version":"vor","delay-in-days":20,"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":[[2016,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aim:<\/jats:title><jats:p>A major concern about endoscopic snare papillectomy (ESP) is the risk of procedure\u2010related pancreatitis. To maintain pancreatic duct access for stent placement after ESP, wire\u2010guided ESP (WP) was introduced. The aim of the study was to compare post\u2010procedure pancreatitis rates, the success rate of pancreatic stent insertion, and complete resection rates between WP and conventional ESP (CP) procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p>This was a multi\u2010center, prospective, randomized pilot study. Forty\u2010five patients with ampullary tumors were randomly assigned to a WP group (<jats:italic>n<\/jats:italic>\u2009=\u200922) or a CP group (<jats:italic>n<\/jats:italic>\u2009=\u200923). In the WP group, a guidewire was placed in the pancreatic duct prior to ESP. A 5\u2010Fr pancreatic stent was passed over the guidewire and placed across the pancreatic duct orifice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>Complete resection was achieved in 20 patients (91%) in the WP group and 18 patients (78%) in the CP group (<jats:italic>P<\/jats:italic>\u2009=\u20090.414). A pancreatic stent was placed successfully in all patients in the WP group but in only 15 patients (65%) in the CP group (<jats:italic>P<\/jats:italic>\u2009=\u20090.004). Post\u2010papillectomy pancreatitis occurred in four (18%) patients in the WP and three (13%) patients in the CP groups (<jats:italic>P<\/jats:italic>\u2009=\u20090.960). In the CP group, three of eight (37.5%) patients without stents developed pancreatitis compared with zero of 15 patients with stents (<jats:italic>P<\/jats:italic>\u2009=\u20090.032).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p>The WP method is a useful technique used to insert a pancreatic stent after ESP, compared with CP. However, there was no significant difference in the post\u2010procedure pancreatitis or complete resection rates between the two methods.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jgh.13205","type":"journal-article","created":{"date-parts":[[2015,10,19]],"date-time":"2015-10-19T18:08:51Z","timestamp":1445278131000},"page":"897-902","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Endoscopic wire\u2010guided papillectomy <i>versus<\/i> conventional papillectomy for ampullary tumors: A prospective comparative pilot study"],"prefix":"10.1111","volume":"31","author":[{"given":"Tae Yoon","family":"Lee","sequence":"first","affiliation":[{"name":"Digestive Disease Center, Department of Internal Medicine Konkuk University School of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Koog","family":"Cheon","sequence":"additional","affiliation":[{"name":"Digestive Disease Center, Department of Internal Medicine Konkuk University School of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chan Sup","family":"Shim","sequence":"additional","affiliation":[{"name":"Digestive Disease Center, Department of Internal Medicine Konkuk University School of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyun Jong","family":"Choi","sequence":"additional","affiliation":[{"name":"Digestive Disease Center and Research Institute, Department of Internal Medicine Soonchunhyang University School of Medicine  Bucheon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong Ho","family":"Moon","sequence":"additional","affiliation":[{"name":"Digestive Disease Center and Research Institute, Department of Internal Medicine Soonchunhyang University School of Medicine  Bucheon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jung Sik","family":"Choi","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Internal Medicine Inje University College of Medicine  Busan Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyoung\u2010Chul","family":"Oh","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology Chung\u2010Ang University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,4,21]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1052-5157(03)00101-6"},{"key":"e_1_2_5_3_1","first-page":"1","article-title":"Endoscopic treatment of ampullary adenomas","volume":"9","author":"Pandolfi 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