Needle-Knife Papillotomy : An Adjunct to Therapeutic ERCP
Keywords:
Needle-knife papillotomy, Precut papillotomy, ERCPAbstract
Between January 1998 and September 2000 needle-knife papillotomy (NKP) was attempted in 21 patients after failure of conventional endoscopic biliary cannulation. The indications of ERCP included CB stones in 9, gallstone with abnormal liver enzymes or suspicious ultrasonographic findings in 5 and jaundice with dilated biliary duct in 7 cases. The success rate of cannulation was 76 per cent (16 in 21 patients) in the first session and 80 percent (4 in 5 patients) when attempted in the second session. Overall success rate was 95 percent. Complication rate was 9.5 per cent (2 in 21 patients) with mild pancreatitis in two patients. There was no mortality in this study.
In conclusion, NKP is a valuable adjunct to ERCP that allows safe, effective and high success rate for cannulation in cases that conventional access maneuver has failed
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