Feasibility and safety of partial ampullary endoscopic mucosal resection: a novel technique for difficult biliary cannulation (with video)

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dc.authorwosidTokmak, Salih/HKE-8525-2023
dc.authorwosidÇetin, Mehmet Fuat/HKF-3423-2023
dc.contributor.authorTokmak, Salih
dc.contributor.authorÇetin, Mehmet Fuat
dc.contributor.authorTorun, Serkan
dc.date.accessioned2023-07-26T11:57:33Z
dc.date.available2023-07-26T11:57:33Z
dc.date.issued2022
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıkları Ana Bilim Dalıen_US
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalıen_US
dc.description.abstractBackground Biliary cannulation can be challenging even for expert endoscopists, and rescue techniques are limited. Our objective was to determine the feasibility and safety of partial ampullary endoscopic mucosal resection (PA-EMR), a novel technique for biliary cannulation. Methods Monocentric, retrospective analysis of a prospectively maintained database in a tertiary referral university hospital. Fourteen patients who required endoscopic retrograde cholangiopancreatography (ERCP) and underwent PA-EMR between January 1, 2020 and January 31, 2021 were included. For biliary cannulation of prominent papillae, PA-EMR was performed using a standard polypectomy snare, alone or in combination with needle-knife sphincterotomy. In patients with non-prominent papilla, the papillary mucosa was elevated with the aid of methylene blue injection before resection and combined with needle-knife fistulotomy when needed. The rate of technical success and adverse events was assessed. Results The bile duct cannulation success was 99% in the first attempt and 100% overall with the PA-EMR technique. Only one patient experienced mild bleeding, which spontaneously stopped. Conclusion PA-EMR is an effective technique that may be considered as a rescue technique for difficult biliary cannulation in expert hands. Future studies including larger cohorts and comparisons with other techniques are warranted to further confirm the feasibility and safety of this novel technique.en_US
dc.identifier.doi10.1007/s00464-022-09539-6
dc.identifier.issn0930-2794
dc.identifier.issn1432-2218
dc.identifier.pmid35999314en_US
dc.identifier.scopus2-s2.0-85136599202en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1007/s00464-022-09539-6
dc.identifier.urihttps://hdl.handle.net/20.500.12684/13224
dc.identifier.wosWOS:000843717700007en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorTokmak, Salih
dc.institutionauthorTorun, Serkan
dc.institutionauthorÇetin, Mehmet Fuat
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofSurgical Endoscopy and Other Interventional Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz$2023V1Guncelleme$en_US
dc.subjectCannulation; Endoscopic Retrograde Cholangiopancreatography; Endoscopic Sphincterotomyen_US
dc.subjectEuropean-Society; Ercp; Precut; Sphincterotomy; Pancreatitisen_US
dc.titleFeasibility and safety of partial ampullary endoscopic mucosal resection: a novel technique for difficult biliary cannulation (with video)en_US
dc.typeArticleen_US

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