Cannulation details
Difficult CBD cannulation was reported for 150 /514 cases (29.2 %) using the single-use duodenoscope (10 of which were failed ERCPs), and in 15 cases in which a reusable duodenoscope was used after crossover.Advanced cannulation techniques performed included: precut (access) papillotomy (n = 42; 7.6 %), double wire (n = 31; 5.6 %), pancreatic duct plastic stent (n = 24; 4.4 %), rendezvous with EUS (n = 3; one also had precut but ERCP still failed and went to rendezvous), cholangioscopy (n = 2), papillectomy (n = 1), transpancreatic sphincterotomy (n = 1), clip used to bring hidden papilla out from fold (n = 1), and accessory papilla cannulation (n = 1).