Comparison Of Loop-Tip Wire Vs Tradictional Technique In The Cannulation Of The Common Bile Duct

Selective cannulation of common bile duct (CBD) by insertion of a guide-wire seems to be associated with fewer complications and post-ERCP (Endoscopic retrograde cholangiopancreatography) pancreatitis (PEP) rate than the conventional biliary tree access with cannulotome (CT-25 Cook Medical) with contrast injection even if results are conflicting. the aim of our study is to test a new guide-wire (loop-tip wire), with a loop in the tip, for the prevention of PEP and biliary tree access, in PEP high-risk patients.

Inclusion Criteria:

• high-risk patients for post-ERCP pancreatitis

Exclusion Criteria:

• age < 18 years
• allargy to the contrast medium
• previous biliary or gastric surgery
• neoplastic patients
• previous biliary or pancreatic sphincterotomy