{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T13:22:47Z","timestamp":1778678567034,"version":"3.51.4"},"reference-count":18,"publisher":"Baishideng Publishing Group Inc.","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Gastrointest Endosc"],"abstract":"<jats:p>BACKGROUND<\/jats:p>\n          <jats:p>Endoscopic retrograde cholangiopancreatography (ERCP) is associated with a variety of adverse events (AEs). One of the most important AEs is post-ERCP pancreatitis (PEP), which is most common in cases of difficult biliary cannulation. Although the precut technique has been reported as a PEP risk factor, recent studies indicate that early precut could reduce PEP, and that precut itself is not a risk factor.<\/jats:p>\n          <jats:p>AIM<\/jats:p>\n          <jats:p>To evaluate the safety of the precut technique, especially in terms of PEP.<\/jats:p>\n          <jats:p>METHODS<\/jats:p>\n          <jats:p>We conducted a retrospective study, spanning the period from November 2011 through December 2021. It included 1556 patients, aged \u2265 20 years, who underwent their initial ERCP attempt for biliary disease with a na\u00efve papilla at the Kawasaki University General Medical Center. We compared the PEP risk between the early precut and the delayed precut group.<\/jats:p>\n          <jats:p>RESULTS<\/jats:p>\n          <jats:p>The PEP incidence rate did not significantly differ between the precut and non-precut groups. However, the PEP incidence was significantly lower in the early precut group than the delayed precut group (3.5% vs  10.5%; P  = 0.02). The PEP incidence in the delayed precut group without pancreatic stent insertion (17.3%) was significantly higher compared to other cases (P  &lt; 0.01).<\/jats:p>\n          <jats:p>CONCLUSION<\/jats:p>\n          <jats:p>Our findings indicate that early precut may reduce PEP incidence. If the precut decision is delayed, a pancreatic stent should be inserted to prevent PEP.<\/jats:p>","DOI":"10.4253\/wjge.v16.i9.519","type":"journal-article","created":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T01:18:22Z","timestamp":1726103902000},"page":"519-525","source":"Crossref","is-referenced-by-count":4,"title":["Can early precut reduce post-endoscopic retrograde cholangiopancreatography pancreatitis in patients with difficult bile duct cannulation?"],"prefix":"10.4253","volume":"16","author":[{"given":"Tomohiro","family":"Tanikawa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keisuke","family":"Miyakae","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayuko","family":"Kawada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katunori","family":"Ishii","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takasi","family":"Fushimi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noriyo","family":"Urata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nozomu","family":"Wada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken","family":"Nishino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitshiko","family":"Suehiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miwa","family":"Kawanaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidenori","family":"Shiraha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken","family":"Haruma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirofumi","family":"Kawamoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2060","published-online":{"date-parts":[[2024,9,16]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1055\/a-1523-0780"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1016\/s0016-5107(99)70157-4"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1055\/a-0919-4154"},{"key":"B4","unstructured":"Zhou PH, Yao LQ, Xu MD, Zhong YS, Gao WD, He GJ, Zhang YQ, Chen WF, Qin XY. 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