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Table 2 Comparison of NKF and TPS groups

From: Comparison between transpancreatic sphincterotomy and needle-knife fistulotomy in difficulty biliary access, a retrospective study in Taiwan

 

TPS (n = 31)

NKF (n = 47)

p

 Male, n (%)

14 (45.2)

27 (57.5)

0.28

 Age, mean (SD)

71.2 (14.5)

68.5 (12.9)

0.39

ERCP indication

 CBD stone, n (%)

19 (61.3)

20 (42.6)

0.11

 Pancreatic neoplasm, n (%)

8 (25.8)

15 (31.9)

0.56

 Cholangiocarcinoma, n (%)

2 (6.5)

2 (4.3)

0.67

 Others (CP, other malignancy), n (%)

2 (6.5)

10 (21.3)

0.08

Pancreatic duct – cannulation

 P – cannulation < 3, n (%)

6 (19.4)

43 (91.5)

<  0.001

 P – cannulation ≥3, n (%)

16 (51.6)

4 (8.5)

<  0.001

 P – cannulation > 5, n (%)

6 (19.4)

0 (0)

0.002

 P – cannulation > 8, n (%)

2 (9.7)

0 (0)

0.03

 P – cannulation, median (IQR)

4.5 (3)

0 (0)

0.002

Endoscopic finding

 Diverticulum, n (%)

6 (23.1)

4 (8.5)

0.03

Deep cannulation, n (%)

 Success

23 (74.2)

39 (83.0)

0.34

 TPS + NKF

3 (9.7)

  

 Failure

4 (12.9)

8 (17)

 

Post – cannulation procedure, n (%)

 EPLBD

3 (9.7)

5 (10.6)

0.891

EPBD

7 (22.6)

5 (10.6)

0.15

 ERBD (plastic stent)

8 (25.8)

18 (38.3)

0.25

 metallic stent

0 (0)

6 (12.7)

0.04

 Lithotripsy

14 (45.2)

15 (31.9)

0.236

PEP prophylaxis, n (%)

 Nil

13 (41.9)

34 (72.3)

0.007

 P - stenting

4 (12.9)

6 (12.8)

0.99

 Gabexate Mesilae

12 (38.7)

5 (10.6)

0.003

 NSAIDs

0

2 (4.26)

0.24

 Gabexate Mesilae + NSAIDs

5 (16.1)

3 (6.4)

0.17

  1. TPS Transpancreatic sphincterotomy, NKF needle knife fistulotomy, ERCP Endoscopic retrograde cholangiopancreaticography, PEP post-ERCP pancreatitis, NKP needle knife papillotomy, CBD common bile duct, EPBD endoscopic papillary balloon dilatation (balloon diameter less than 12 mm), EPLBD endoscopic papillary large balloon dilatation (large-diameter balloons (12–20 mm)), ERBD endoscopic retrograde biliary drainage, NSAID Non-Steroidal Anti-Inflammatory Drug, CP chronic pancreatitis