Comparison of Double Wire Technique With Pancreatic Duct Stent Placement for Difficult Bile Duct Cannulation
Comparison of Double Wire Technique With Pancreatic Duct Stent Placement for Difficult Bile Duct Cannulation
This research project will compare the use of the double wire technique with the placement of
 a pancreatic duct (PD) stent to achieve deep biliary cannulation without the use of a precut
 papillotomy. Currently, the data supporting either of these approaches is limited to the
 referenced case series. More data on the success and complication rates of these techniques
 are needed. The investigators believe either of these approaches would be preferred by less
 experienced endoscopists to precut papillotomy. Consequently, it is important to
 differentiate these techniques and identify which patients may benefit from one or both.
Inclusion Criteria:

 -  First time ERCP

 Exclusion Criteria:

 -  Successful bile duct cannulation within six minutes

 -  Planned pancreatic duct therapy

 -  Planned pancreatobiliary manometry

 -  Prior successful ERCP