Double Guidewire Technique Versus Transpancreatic Precut in Patients With Repetitive Unintentional Cannulation of the Pancreatic Duct.

Cairo University (CU)

Status: Unknown

Conditions: Precut; Common Bile Duct Diseases; Transpancreatic Precut; Endoscopic Retrograde Cholangiopancreatography; Double Guidewire

Treatments: Procedure: Double guidewire; Procedure: Transpancreatic precut

Study type: Interventional

Funder types: Other

Identifiers

NCT04503200

DGWRCT

Details and patient eligibility

About

Difficult cannulation of the common bile duct is encountered in about 10%of ERCP procedures. This frequently happens in the form of repeated unintentional cannulation of the pancreatic duct. Two valid options are available to facilitate cannulation at this point: Double guidewire technique or performing a transpancreatic precut. This is a randomized trial comparing the efficacy and Safety of double guidwire technique versus transpancreatic precut after three unintentional passages of the guidewire into the pancreatic duct.

Enrollment: 80 estimated patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• unintentional cannulation of the pancreatic duct 3 times
• Consenting to join the study

Exclusion criteria

• Previous ERCP with or without previous sphincterotomy

• Known coagulopathy

  • • Pregnancy
  • • Known acute pancreatitis at the time of procedure

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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80 participants in 2 patient groups

Double guidewire

Active Comparator group

Treatment:

Procedure: Double guidewire

Transpancreatic precut

Active Comparator group

Treatment:

Procedure: Transpancreatic precut