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Early Precut Sphincterotomy Does Not Increase Risk During Endoscopic Retrograde Cholangiopancreatography in Patients With Difficult Biliary Access: A.

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Presentation on theme: "Early Precut Sphincterotomy Does Not Increase Risk During Endoscopic Retrograde Cholangiopancreatography in Patients With Difficult Biliary Access: A."— Presentation transcript:

1 Early Precut Sphincterotomy Does Not Increase Risk During Endoscopic Retrograde Cholangiopancreatography in Patients With Difficult Biliary Access: A Meta-analysis of Randomized Controlled Trials  Prakalathan Sundaralingam, Philip Masson, Michael J. Bourke  Clinical Gastroenterology and Hepatology  Volume 13, Issue 10, Pages e2 (October 2015) DOI: /j.cgh Copyright © 2015 AGA Institute Terms and Conditions

2 Figure 1 Search results. Clinical Gastroenterology and Hepatology  , e2DOI: ( /j.cgh ) Copyright © 2015 AGA Institute Terms and Conditions

3 Figure 2 Primary cannulation. Early precut vs persistent standard therapy. M-H, Mantel Haenszel. Clinical Gastroenterology and Hepatology  , e2DOI: ( /j.cgh ) Copyright © 2015 AGA Institute Terms and Conditions

4 Figure 3 Subgroup analysis. Comparison of post-ERCP pancreatitis rates between early precut sphincterotomy and persistent standard therapy by fellow involvement. Clinical Gastroenterology and Hepatology  , e2DOI: ( /j.cgh ) Copyright © 2015 AGA Institute Terms and Conditions

5 Supplementary Figure 1 Funnel plot of overall cannulation success rates. Clinical Gastroenterology and Hepatology  , e2DOI: ( /j.cgh ) Copyright © 2015 AGA Institute Terms and Conditions

6 Supplementary Figure 2 Funnel plot of overall post-ERCP pancreatitis rate. Clinical Gastroenterology and Hepatology  , e2DOI: ( /j.cgh ) Copyright © 2015 AGA Institute Terms and Conditions


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