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Hospital administrative problems
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The aim of this study is to compare the cannulation time during primary wire guided ERCP (Endoscopic Retrograde Cholangio-Pancreatography) according to two different length of guide wire: long wire or short wire rapid exchange, artery by a prospective randomized trial.
In primary Endoscopic Retrograde Cholangio-Pancreatography (ERCP) cannulation is wire guided. Up to now there is no doubt about the efficacy of such a procedure. The use of long wire requires the help of another person behind primary operator. The use of short wire rapid exchange allows the primary operator to perform all the steps by himself. Time of cannulation is known to be directly associated to post ERCP pancreatitis.
Aim of the study is to assess which length of guide wire allows the shorter cannulation time during primary ERCP. Post ERCP pancreatitis onset will be assessed for all patients
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Short guide wire rapid exchange | Experimental | Use of short guide wire rapid exchange to guide the cannulation during primary ERCP |
|
| Long guide wire | Active Comparator | Use of long wire to guide the cannulation during primary ERCP |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Short guide wire rapid exchange | Device | Use of short guide wire rapid exchange to guide the cannulation during primary ERCP |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time of cannulation | Time (in seconds) required to perform a complete and successful deep cannulation of the "biliary papilla" and the biliary tree assessed by timing it and reporting it in the prefashioned database | 8 hours from intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of post ERCP pancreatitis | Incidence of post ERCP pancreatitis | 8 hours post ERCP |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Francesco Pugliese, MD | Niguarda Ca' Granda Hospital | Study Chair |
| Edoardo Forti, MD | Niguarda Ca' Granda Hospital | Study Chair |
| Raffaele Manta, MD | Niguarda Ca' Granda Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Niguarda Hospital | Milan | 20100 | Italy |
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| ID | Term |
|---|---|
| D010195 | Pancreatitis |
| ID | Term |
|---|---|
| D010182 | Pancreatic Diseases |
| D004066 | Digestive System Diseases |
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| Long guide wire | Device | Use of long wire to guide the cannulation during primary ERCP |
|