Abstract:

Objective: Endoscopic retrograde cholangiopancreatography ERCP has been used primarily for therapeutic interventions. Precut sphincterotomy is a technique that is used after conventional methods of biliary cannulation have failed. We aimed to evaluate whether the precut technique increases the frequency of complications.Material and Methods: Two hundred fifteen patients in whom ERCP was performed were prospectively evaluated. One hundred eighty-five patients included in the study were divided into three groups based on the cannulation technique: Group 1: Deep biliary cannulation or cannulation by guide wire; Group 2: Precut technique; Group 3: If cannulation was not possible with these two techniques within 10 minutes, a precut with needle-knife sphincterotomy was carried out in these patients. Complete blood count, and blood serum amylase and lipase levels were checked before and after the procedure. The patients were monitored for 30 days for the development of any complications.Results: Complications were observed in 26 14% of 185 patients, including pancreatitis in 1 8 9.7% patients, cholangitis in six 3.2% patients, and hemorrhage in two 1.1% patients. The frequency of complications was 9.2% in group 1, 9.3% in group 2, and 35.3% in group 3 p

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