Su1344 Early Precut Fistulotomy - an Effective Time Saving Strategy for a Successful Biliary Cannulation

Abstract

Deep cannulation into the common bile duct is the most important step for successful biliary therapeutic endoscopy. Precut may improve the cannulation success rate usually referred to be around 80-90% after a single ERCP. However, several prospective studies have concluded that this procedure is an independent risk factor for post-ERCP complications. Moreover, the timing of the precut in the cannulation strategy is a matter of debate. We aimed at assessing success, safety, and procedure duration of an early precut fistulotomy vs a ‘classic strategy' of precut after a difficult biliary cannulation.