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Burdick's Technique for Biliary Access Revisited

The precut sphincterotomy is used to facilitate selective biliary access in cases of difficult biliary cannulation. Needle-knife precut papillotomy is the standard of care but is associated with a high rate of complications such as pancreatitis, duodenal perforation, bleeding, etc. Sometimes during...

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Detalles Bibliográficos
Autores principales: Goenka, Mahesh Kumar, Rai, Vijay Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Gastrointestinal Endoscopy 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4323427/
https://www.ncbi.nlm.nih.gov/pubmed/25674522
http://dx.doi.org/10.5946/ce.2015.48.1.20
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author Goenka, Mahesh Kumar
Rai, Vijay Kumar
author_facet Goenka, Mahesh Kumar
Rai, Vijay Kumar
author_sort Goenka, Mahesh Kumar
collection PubMed
description The precut sphincterotomy is used to facilitate selective biliary access in cases of difficult biliary cannulation. Needle-knife precut papillotomy is the standard of care but is associated with a high rate of complications such as pancreatitis, duodenal perforation, bleeding, etc. Sometimes during bowing of the sphincterotome/cannula and the use of guide wire to facilitate biliary cannulation, inadvertent formation of a false passage occurs in the 10 to 11 o'clock direction. Use of this step to access the bile duct by the intramucosal incision technique was first described by Burdick et al., and since then two more studies have also substantiated the safety and efficacy of this non-needle type of precut sphincterotomy. In this review, we discuss this non-needle technique of precut sphincterotomy and also share our experience using this "Burdick's technique."
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spelling pubmed-43234272015-02-11 Burdick's Technique for Biliary Access Revisited Goenka, Mahesh Kumar Rai, Vijay Kumar Clin Endosc Focused Review Series: Advanced Endoscopic Treatment for Pancreaticobiliary Diseases The precut sphincterotomy is used to facilitate selective biliary access in cases of difficult biliary cannulation. Needle-knife precut papillotomy is the standard of care but is associated with a high rate of complications such as pancreatitis, duodenal perforation, bleeding, etc. Sometimes during bowing of the sphincterotome/cannula and the use of guide wire to facilitate biliary cannulation, inadvertent formation of a false passage occurs in the 10 to 11 o'clock direction. Use of this step to access the bile duct by the intramucosal incision technique was first described by Burdick et al., and since then two more studies have also substantiated the safety and efficacy of this non-needle type of precut sphincterotomy. In this review, we discuss this non-needle technique of precut sphincterotomy and also share our experience using this "Burdick's technique." The Korean Society of Gastrointestinal Endoscopy 2015-01 2015-01-31 /pmc/articles/PMC4323427/ /pubmed/25674522 http://dx.doi.org/10.5946/ce.2015.48.1.20 Text en Copyright © 2015 Korean Society of Gastrointestinal Endoscopy http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Focused Review Series: Advanced Endoscopic Treatment for Pancreaticobiliary Diseases
Goenka, Mahesh Kumar
Rai, Vijay Kumar
Burdick's Technique for Biliary Access Revisited
title Burdick's Technique for Biliary Access Revisited
title_full Burdick's Technique for Biliary Access Revisited
title_fullStr Burdick's Technique for Biliary Access Revisited
title_full_unstemmed Burdick's Technique for Biliary Access Revisited
title_short Burdick's Technique for Biliary Access Revisited
title_sort burdick's technique for biliary access revisited
topic Focused Review Series: Advanced Endoscopic Treatment for Pancreaticobiliary Diseases
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4323427/
https://www.ncbi.nlm.nih.gov/pubmed/25674522
http://dx.doi.org/10.5946/ce.2015.48.1.20
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