Abstract
Needle-knife fistulotomy (NKF) is still considered a risk factor of endoscopic retrograde cholangio-pancreatography (ERCP) – related complications and commonly used to overcome difficult bile duct cannulation. So, there are limited data on primary NKF for the access to bile duct in patients with naïve papilla. And experience of endoscopist was an important risk factor for post-ERCP pancreatitis (PEP) in conventional ERCP. It also limited data on complication rate between endoscopist’s experience in NKF. So, we aimed to evaluate the safety and complications of primary implementation of NKF. And we also compared complication rate between two endoscpoists which had a different experience.
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