Video Comment on Harutoshi Sugiyama et al.

Harutoshi Sugiyama et al. Transpancreatic precut papillotomy versus double-guidewire technique in difficult biliary cannulation: prospective randomized study

In a randomized controlled trial from Japan, success and complication rates of transpancreatic precut papillotomy (n = 34) and the double-guidewire technique (n = 34), both combined with prophylactic pancreatic stenting, were compared. It was concluded that cannulation rates were higher using transpancreatic precut papillotomy than with the double-guidewire technique, while post-ERCP pancreatitis was 2.9 % in both groups.