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Second endoscopic retrograde cholangiopancreatography after failure of initial biliary cannulation: A single institution retrospective experience

  • Authors:
    • Xin Deng
    • Rui Liao
    • Long Pan
    • Chengyou Du
    • Qiao Wu
  • View Affiliations / Copyright

    Affiliations: Department of Hepatobiliary Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, P.R. China
    Copyright: © Deng et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 297
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    Published online on: February 18, 2022
       https://doi.org/10.3892/etm.2022.11226
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Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) is not always successful when difficult biliary cannulation occurs. A second ERCP seems to be a worthwhile option following initial failure cannulation; however, relevant data are limited. Thus, the aim of the present study was to determine the outcomes of repeating ERCP in patients in whom the first biliary cannulation with or without precut sphincterotomy failed. It retrospectively analyzed 4,136 patients who underwent an initial biliary access between June 2016 and September 2020. Data from our databases were analyzed. Efficacy was based on the cannulation rate of the second ERCP and safety was assessed in terms of adverse events. Of 94 patients, 56 (59.6%) underwent a second ERCP and the success rate in biliary cannulation was 83.9% (47 of 56). The median operative time in the second ERCP was shorter than that in the initial procedure (47 vs. 65 min, P<0.001). A total of 5 patients (8.9%) suffered from mild ERCP‑associated complications following the second ERCP. Compared with patients that did not undergo a second ERCP, patients that underwent a second ERCP had a lower 30‑day mortality rate (13.2 vs. 1.8%, P=0.038). In addition, by univariate and multivariate analysis, it was observed that normal preoperative serum bilirubin levels and an interval time of <3 days were correlated with the cannulation failure of a second ERCP (OR=9.211, P=0.019, OR=6.765, P=0.041, respectively). A second ERCP following failure of an initial biliary cannulation appears to be safe and effective. For most clinically stable patients with an unsuccessful initial ERCP, a second ERCP after 2‑4 days may be an optimal strategy. Preoperative normal serum bilirubin levels may be a risk factor that can be used for predicting cannulation failure of a second ERCP procedure.
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1 

Lee YS, Cho CM, Cho KB, Heo J, Jung MK, Kim SB, Kim KH, Kim TN, Lee DW, Han J, et al: Difficult biliary cannulation from the perspective of post-endoscopic retrograde cholangiopancreatography pancreatitis: Identifying the optimal timing for the rescue cannulation technique. Gut Liver. 15:459–465. 2021.PubMed/NCBI View Article : Google Scholar

2 

Nakai Y, Isayama H, Sasahira N, Kogure H, Sasaki T, Yamamoto N, Saito K, Umefune G, Akiyama D, Kawahata S, et al: Risk factors for post-ERCP pancreatitis in wire-guided cannulation for therapeutic biliary ERCP. Gastrointest Endosc. 81:119–126. 2015.PubMed/NCBI View Article : Google Scholar

3 

Chen Q, Jin P, Ji X, Du H and Lu J: Management of difficult or failed biliary access in initial ERCP: A review of current literature. Clin Res Hepatol Gastroenterol. 43:365–372. 2019.PubMed/NCBI View Article : Google Scholar

4 

Cennamo V, Fuccio L, Zagari RM, Eusebi LH, Ceroni L, Laterza L, Fabbri C and Bazzoli F: Can early precut implementation reduce endoscopic retrograde cholangiopancreatography-related complication risk? Meta-analysis of randomized controlled trials. Endoscopy. 42:381–388. 2010.PubMed/NCBI View Article : Google Scholar

5 

Williams EJ, Ogollah R, Thomas P, Logan RF, Martin D, Wilkinson ML and Lombard M: What predicts failed cannulation and therapy at ERCP? Results of a large-scale multicenter analysis. Endoscopy. 44:674–683. 2012.PubMed/NCBI View Article : Google Scholar

6 

Altonbary AY and Bahgat MH: Endoscopic retrograde cholangiopancreatography in periampullary diverticulum: The challenge of cannulation. World J Gastrointest Endosc. 8:282–287. 2016.PubMed/NCBI View Article : Google Scholar

7 

Krutsri C, Kida M, Yamauchi H, Iwai T, Imaizumi H and Koizumi W: Current status of endoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy. World J Gastroenterol. 25:3313–3333. 2019.PubMed/NCBI View Article : Google Scholar

8 

ASGE Technology Committee. Enestvedt BK, Kothari S, Pannala R, Yang J, Fujii-Lau LL, Hwang JH, Konda V, Manfredi M, Maple JT, et al: Devices and techniques for ERCP in the surgically altered GI tract. Gastrointest Endosc. 83:1061–1075. 2016.PubMed/NCBI View Article : Google Scholar

9 

Colan-Hernandez J, Aldana A, Concepción M, Chavez K, Gómez C, Mendez-Bocanegra A, Martínez-Guillen M, Sendino O, Villanueva C, Llach J, et al: Optimal timing for a second ERCP after failure of initial biliary cannulation following precut sphincterotomy: An analysis of experience at two tertiary centers. Surg Endosc. 31:3711–3717. 2017.PubMed/NCBI View Article : Google Scholar

10 

Pavlides M, Barnabas A, Fernandopulle N, Bailey AA, Collier J, Phillips-Hughes J, Ellis A, Chapman R and Braden B: Repeat endoscopic retrograde cholangiopancreaticography after failed initial precut sphincterotomy for biliary cannulation. World J Gastroenterol. 20:13153–13158. 2014.PubMed/NCBI View Article : Google Scholar

11 

Bokemeyer A, Muller F, Niesert H, Brückner M, Bettenworth D, Nowacki T, Beyna T, Ullerich H and Lenze F: Percutaneous-transhepatic-endoscopic rendezvous procedures are effective and safe in patients with refractory bile duct obstruction. United European Gastroenterol J. 7:397–404. 2019.PubMed/NCBI View Article : Google Scholar

12 

Lorenz JM: Management of malignant biliary obstruction. Semin Intervent Radiol. 33:259–267. 2016.PubMed/NCBI View Article : Google Scholar

13 

Abbas AM, Strong AT, Diehl DL, Brauer BC, Lee IH, Burbridge R, Zivny J, Higa JT, Falcão M, El Hajj II, et al: Multicenter evaluation of the clinical utility of laparoscopy-assisted ERCP in patients with Roux-en-Y gastric bypass. Gastrointest Endosc. 87:1031–1039. 2018.PubMed/NCBI View Article : Google Scholar

14 

Huang RJ, Thosani NC, Barakat MT, Choudhary A, Mithal A, Singh G, Sethi S and Banerjee S: Evolution in the utilization of biliary interventions in the United States: Results of a nationwide longitudinal study from 1998 to 2013. Gastrointest Endosc. 86:319–326.e5. 2017.PubMed/NCBI View Article : Google Scholar

15 

Testoni PA, Mariani A, Aabakken L, Arvanitakis M, Bories E, Costamagna G, Devière J, Dinis-Ribeiro M, Dumonceau JM, Giovannini M, et al: Papillary cannulation and sphincterotomy techniques at ERCP: European society of gastrointestinal endoscopy (ESGE) clinical guideline. Endoscopy. 48:657–683. 2016.PubMed/NCBI View Article : Google Scholar

16 

Liao WC, Angsuwatcharakon P, Isayama H, Dhir V, Devereaux B, Khor CJ, Ponnudurai R, Lakhtakia S, Lee DK, Ratanachu-Ek T, et al: International consensus recommendations for difficult biliary access. Gastrointest Endosc. 85:295–304. 2017.PubMed/NCBI View Article : Google Scholar

17 

Haraldsson E, Kylänpää L, Grönroos J, Saarela A, Toth E, Qvigstad G, Hult M, Lindström O, Laine S, Karjula H, et al: Macroscopic appearance of the major duodenal papilla influences bile duct cannulation: A prospective multicenter study by the scandinavian association for digestive endoscopy study group for ERCP. Gastrointest Endosc. 90:957–963. 2019.PubMed/NCBI View Article : Google Scholar

18 

Chen PH, Tung CF, Peng YC, Yeh HZ, Chang CS and Chen CC: Duodenal major papilla morphology can affect biliary cannulation and complications during ERCP, an observational study. BMC Gastroenterol. 20(310)2020.PubMed/NCBI View Article : Google Scholar

19 

ASGE Training Committee. Jorgensen J, Kubiliun N, Law JK, Al-Haddad MA, Bingener-Casey J, Christie JA, Davila RE, Kwon RS, Obstein KL, et al: Endoscopic retrograde cholangiopancreatography (ERCP): Core curriculum. Gastrointest Endosc. 83:279–289. 2016.PubMed/NCBI View Article : Google Scholar

20 

Wani S, Han S, Simon V, Hall M, Early D, Aagaard E, Abidi WM, Banerjee S, Baron TH, Bartel M, et al: Setting minimum standards for training in EUS and ERCP: Results from a prospective multicenter study evaluating learning curves and competence among advanced endoscopy trainees. Gastrointest Endosc. 89:1160–1168.e9. 2019.PubMed/NCBI View Article : Google Scholar

21 

ASGE Standards of Practice Committee. Chandrasekhara V, Khashab MA, Muthusamy VR, Acosta RD, Agrawal D, Bruining DH, Eloubeidi MA, Fanelli RD, Faulx AL, et al: Adverse events associated with ERCP. Gastrointest Endosc. 85:32–47. 2017.PubMed/NCBI View Article : Google Scholar

22 

Williams EJ, Taylor S, Fairclough P, Hamlyn A, Logan RF, Martin D, Riley SA, Veitch P, Wilkinson M, Williamson PR, et al: Are we meeting the standards set for endoscopy? Results of a large-scale prospective survey of endoscopic retrograde cholangio-pancreatograph practice. Gut. 56:821–829. 2007.PubMed/NCBI View Article : Google Scholar

23 

Jin YJ, Jeong S and Lee DH: Utility of needle-knife fistulotomy as an initial method of biliary cannulation to prevent post-ERCP pancreatitis in a highly selected at-risk group: A single-arm prospective feasibility study. Gastrointest Endosc. 84:808–813. 2016.PubMed/NCBI View Article : Google Scholar

24 

Fiocca F, Fanello G, Cereatti F, Maselli R, Ceci V and Donatelli G: Early ‘shallow’ needle-knife papillotomy and guidewire cannulation: An effective and safe approach to difficult papilla. Therap Adv Gastroenterol. 8:114–120. 2015.PubMed/NCBI View Article : Google Scholar

25 

Kevans D, Zeb F, Donnellan F, Courtney G and Aftab AR: Failed biliary access following needle knife fistulotomy: Is repeat interval ERCP worthwhile? Scand J Gastroenterol. 45:1238–1241. 2010.PubMed/NCBI View Article : Google Scholar

26 

Kim J, Ryu JK, Ahn DW, Park JK, Yoon WJ, Kim YT and Yoon YB: Results of repeat endoscopic retrograde cholangiopancreatography after initial biliary cannulation failure following needle-knife sphincterotomy. J Gastroenterol Hepatol. 27:516–520. 2012.PubMed/NCBI View Article : Google Scholar

27 

Donnellan F, Enns R, Kim E, Amar J, Telford J and Byrne MF: Outcome of repeat ERCP after initial failed use of a needle knife for biliary access. Dig Dis Sci. 57:1069–1071. 2012.PubMed/NCBI View Article : Google Scholar

28 

Lo MH, Lin CH, Wu CH, Tsou YK, Lee MH, Sung KF and Liu NJ: Management of biliary diseases after the failure of initial needle knife precut sphincterotomy for biliary cannulation. Sci Rep. 11(14968)2021.PubMed/NCBI View Article : Google Scholar

29 

Peñaloza Ramírez A, Rodríguez Tello D, Murillo Arias A, Barreto Pérez J and Aponte Ordóñez P: Endoscopic retrograde cholangiopancreatography results three days after a failed pre-cut. Rev Esp Enferm Dig. 113:486–489. 2021.PubMed/NCBI View Article : Google Scholar

30 

Flumignan VK, Seike MG, Souza VS, Cirqueira MI, Silva AB and Artifon ELA: Difficult biliary cannulation: Should we always try a second ercp after a failed needle-knife fistulotomy? Arq Gastroenterol. 58:509–513. 2021.PubMed/NCBI View Article : Google Scholar

31 

Kaffes AJ, Sriram PV, Rao GV, Santosh D and Reddy DN: Early institution of pre-cutting for difficult biliary cannulation: A prospective study comparing conventional vs. a modified technique. Gastrointest Endosc. 62:669–674. 2005.PubMed/NCBI View Article : Google Scholar

32 

Ang TL, Kwek AB, Lim KB, Teo EK and Fock KM: An analysis of the efficacy and safety of a strategy of early precut for biliary access during difficult endoscopic retrograde cholangiopancreatography in a general hospital. J Dig Dis. 11:306–312. 2010.PubMed/NCBI View Article : Google Scholar

33 

Harewood GC and Baron TH: An assessment of the learning curve for precut biliary sphincterotomy. Am J Gastroenterol. 97:1708–1712. 2002.PubMed/NCBI View Article : Google Scholar

34 

Akaraviputh T, Lohsiriwat V, Swangsri J, Methasate A, Leelakusolvong S and Lertakayamanee N: The learning curve for safety and success of precut sphincterotomy for therapeutic ERCP: A single endoscopist's experience. Endoscopy. 40:513–516. 2008.PubMed/NCBI View Article : Google Scholar

35 

Dumonceau JM, Kapral C, Aabakken L, Papanikolaou IS, Tringali A, Vanbiervliet G, Beyna T, Dinis-Ribeiro M, Hritz I, Mariani A, et al: ERCP-related adverse events: European society of gastrointestinal endoscopy (ESGE) guideline. Endoscopy. 52:127–149. 2020.PubMed/NCBI View Article : Google Scholar

36 

Fung BM, Pitea TC and Tabibian JH: Difficult biliary cannulation in endoscopic retrograde cholangiopancreatography: Definitions, risk factors, and implications. Eur Med J Hepatol. 9:64–72. 2021.PubMed/NCBI

37 

Halttunen J, Meisner S, Aabakken L, Arnelo U, Grönroos J, Hauge T, Kleveland PM, Nordblad Schmidt P, Saarela A, Swahn F, et al: Difficult cannulation as defined by a prospective study of the scandinavian association for digestive endoscopy (SADE) in 907 ERCPs. Scand J Gastroenterol. 49:752–758. 2014.PubMed/NCBI View Article : Google Scholar

38 

Watanabe M, Okuwaki K, Kida M, Imaizumi H, Yamauchi H, Kaneko T, Iwai T, Hasegawa R, Miyata E, Masutani H, et al: Transpapillary biliary cannulation is difficult in cases with large oral protrusion of the duodenal papilla. Dig Dis Sci. 64:2291–2299. 2019.PubMed/NCBI View Article : Google Scholar

39 

Freeman ML, DiSario JA, Nelson DB, Fennerty MB, Lee JG, Bjorkman DJ, Overby CS, Aas J, Ryan ME, Bochna GS, et al: Risk factors for post-ERCP pancreatitis: A prospective, multicenter study. Gastrointest Endosc. 54:425–434. 2001.PubMed/NCBI View Article : Google Scholar

40 

Saito H, Kadono Y, Shono T, Kamikawa K, Urata A, Nasu J, Imamura H, Matsushita I, Kakuma T and Tada S: Factors predicting difficult biliary cannulation during endoscopic retrograde cholangiopancreatography for common bile duct stones. Clin Endosc: Nov 12, 2021 (Epub ahead of print).

41 

Zhou PH, Yao LQ, Xu MD, Zhong YS, Gao WD, He GJ, Zhang YQ, Chen WF and Qin XY: Application of needle-knife in difficult biliary cannulation for endoscopic retrograde cholangiopancreatography. Hepatobiliary Pancreat Dis Int. 5:590–594. 2006.PubMed/NCBI

42 

Lopes L, Canena J, Fernandes J, Moreira M, Costa I, Gomes-Fonseca J, Araújo T, Alexandrino G, Lourenço L, Horta D, et al: Should we use papilla morphology to estimate the size of the terminal common bile duct during endoscopic retrograde cholangiopancreatography? Eur J Gastroenterol Hepatol. 32:181–186. 2020.PubMed/NCBI View Article : Google Scholar

43 

Xiao L, Geng C, Li X, Li Y and Wang C: Comparable safety of ERCP in symptomatic and asymptomatic patients with common bile duct stones: A propensity-matched analysis. Scand J Gastroenterol. 56:111–117. 2021.PubMed/NCBI View Article : Google Scholar

44 

Kadokura M, Takenaka Y, Yoda H, Yasumura T, Okuwaki T, Tanaka K and Amemiya F: Asymptomatic common bile duct stones are associated with increased risk of post-endoscopic retrograde cholangiopancreatography pancreatitis. JMA J. 4:141–147. 2021.PubMed/NCBI View Article : Google Scholar

45 

Kuo CM, Chiu YC, Changchien CS, Tai WC, Chuah SK, Hu TH, Kuo YH and Kuo CH: Endoscopic papillary balloon dilation for removal of bile duct stones: Evaluation of outcomes and complications in 298 patients. J Clin Gastroenterol. 46:860–864. 2012.PubMed/NCBI View Article : Google Scholar

46 

Testoni PA, Mariani A, Giussani A, Vailati C, Masci E, Macarri G, Ghezzo L, Familiari L, Giardullo N and Mutignani M: , et al: Risk factors for post-ERCP pancreatitis in high- and low-volume centers and among expert and non-expert operators: A prospective multicenter study. Am J Gastroenterol. 105:1753–1761. 2010.PubMed/NCBI View Article : Google Scholar

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Copy and paste a formatted citation
Spandidos Publications style
Deng X, Liao R, Pan L, Du C and Wu Q: Second endoscopic retrograde cholangiopancreatography after failure of initial biliary cannulation: A single institution retrospective experience. Exp Ther Med 23: 297, 2022.
APA
Deng, X., Liao, R., Pan, L., Du, C., & Wu, Q. (2022). Second endoscopic retrograde cholangiopancreatography after failure of initial biliary cannulation: A single institution retrospective experience. Experimental and Therapeutic Medicine, 23, 297. https://doi.org/10.3892/etm.2022.11226
MLA
Deng, X., Liao, R., Pan, L., Du, C., Wu, Q."Second endoscopic retrograde cholangiopancreatography after failure of initial biliary cannulation: A single institution retrospective experience". Experimental and Therapeutic Medicine 23.4 (2022): 297.
Chicago
Deng, X., Liao, R., Pan, L., Du, C., Wu, Q."Second endoscopic retrograde cholangiopancreatography after failure of initial biliary cannulation: A single institution retrospective experience". Experimental and Therapeutic Medicine 23, no. 4 (2022): 297. https://doi.org/10.3892/etm.2022.11226
Copy and paste a formatted citation
x
Spandidos Publications style
Deng X, Liao R, Pan L, Du C and Wu Q: Second endoscopic retrograde cholangiopancreatography after failure of initial biliary cannulation: A single institution retrospective experience. Exp Ther Med 23: 297, 2022.
APA
Deng, X., Liao, R., Pan, L., Du, C., & Wu, Q. (2022). Second endoscopic retrograde cholangiopancreatography after failure of initial biliary cannulation: A single institution retrospective experience. Experimental and Therapeutic Medicine, 23, 297. https://doi.org/10.3892/etm.2022.11226
MLA
Deng, X., Liao, R., Pan, L., Du, C., Wu, Q."Second endoscopic retrograde cholangiopancreatography after failure of initial biliary cannulation: A single institution retrospective experience". Experimental and Therapeutic Medicine 23.4 (2022): 297.
Chicago
Deng, X., Liao, R., Pan, L., Du, C., Wu, Q."Second endoscopic retrograde cholangiopancreatography after failure of initial biliary cannulation: A single institution retrospective experience". Experimental and Therapeutic Medicine 23, no. 4 (2022): 297. https://doi.org/10.3892/etm.2022.11226
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