Abstract
Successful cannulation of the common bile duct (CBD) is an important benchmark of ERCP. Repeated cannulation for CBD is one of the main risk factors for post-ERCP pancreatitis. Recently, pancreatic duct guidewire assisting bile duct cannulation (double guidewire technique, DGT) or transpancreatic precut sphincterotomy (TPS) have been considered a promising alternative approach in difficult cannulation situations. The aim of this study was to compare the performance of DGT with the TPS in the patients in whom pancreatic duct cannulation was performed initially.
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