Acute papillary stone impaction: An ideal indication for upfront needle knife papillotomy (“needle knife excision”)
Abstract Needle knife papillotomy (NKP) is still considered a rescue technique after conventional access failure due to traditional high complication rates, albeit data are maturing for early use of NKP in standard endoscopic retrograde cholangiopancreatography indications. By contrast, in certain s...
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| Format: | Article |
| Language: | English |
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Wiley
2021-07-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.4337 |
| _version_ | 1827979108353572864 |
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| author | Vincent Zimmer |
| author_facet | Vincent Zimmer |
| author_sort | Vincent Zimmer |
| collection | DOAJ |
| description | Abstract Needle knife papillotomy (NKP) is still considered a rescue technique after conventional access failure due to traditional high complication rates, albeit data are maturing for early use of NKP in standard endoscopic retrograde cholangiopancreatography indications. By contrast, in certain settings NKP should be prioritized to a first‐class indication, such as in choledochocele management and/or, more often encountered in clinical practice, true papillary stone impaction with or without gallstone pancreatitis. The latter results in prompt stone release; thus, the procedure might become alternatively designated as “needle knife excision.” |
| first_indexed | 2024-04-09T21:31:58Z |
| format | Article |
| id | doaj.art-e490968cb1c94bf5ac211e873be7feaa |
| institution | Directory Open Access Journal |
| issn | 2050-0904 |
| language | English |
| last_indexed | 2024-04-09T21:31:58Z |
| publishDate | 2021-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj.art-e490968cb1c94bf5ac211e873be7feaa2023-03-27T08:34:50ZengWileyClinical Case Reports2050-09042021-07-0197n/an/a10.1002/ccr3.4337Acute papillary stone impaction: An ideal indication for upfront needle knife papillotomy (“needle knife excision”)Vincent Zimmer0Department of Medicine Marienhausklinik St. Josef Kohlhof Neunkirchen GermanyAbstract Needle knife papillotomy (NKP) is still considered a rescue technique after conventional access failure due to traditional high complication rates, albeit data are maturing for early use of NKP in standard endoscopic retrograde cholangiopancreatography indications. By contrast, in certain settings NKP should be prioritized to a first‐class indication, such as in choledochocele management and/or, more often encountered in clinical practice, true papillary stone impaction with or without gallstone pancreatitis. The latter results in prompt stone release; thus, the procedure might become alternatively designated as “needle knife excision.”https://doi.org/10.1002/ccr3.4337bile duct stone diseasecholelithiasisendoscopic retrograde cholangiopancreatographygallstone pancreatitisstone passage |
| spellingShingle | Vincent Zimmer Acute papillary stone impaction: An ideal indication for upfront needle knife papillotomy (“needle knife excision”) Clinical Case Reports bile duct stone disease cholelithiasis endoscopic retrograde cholangiopancreatography gallstone pancreatitis stone passage |
| title | Acute papillary stone impaction: An ideal indication for upfront needle knife papillotomy (“needle knife excision”) |
| title_full | Acute papillary stone impaction: An ideal indication for upfront needle knife papillotomy (“needle knife excision”) |
| title_fullStr | Acute papillary stone impaction: An ideal indication for upfront needle knife papillotomy (“needle knife excision”) |
| title_full_unstemmed | Acute papillary stone impaction: An ideal indication for upfront needle knife papillotomy (“needle knife excision”) |
| title_short | Acute papillary stone impaction: An ideal indication for upfront needle knife papillotomy (“needle knife excision”) |
| title_sort | acute papillary stone impaction an ideal indication for upfront needle knife papillotomy needle knife excision |
| topic | bile duct stone disease cholelithiasis endoscopic retrograde cholangiopancreatography gallstone pancreatitis stone passage |
| url | https://doi.org/10.1002/ccr3.4337 |
| work_keys_str_mv | AT vincentzimmer acutepapillarystoneimpactionanidealindicationforupfrontneedleknifepapillotomyneedleknifeexcision |