Cochrane · systematic review · CD009662
Guidewire‐assisted cannulation of the common bile duct for the prevention of post‐endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis
Tse, F, Liu, J, Yuan, Y, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 14.3%Low 2 · 28.6%Moderate 4 · 57.1%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Show all 2 versionsGuidewire‐assisted cannulation compared to contrast‐assisted cannulation for the prevention of post‐ERCP pancreatitis (PEP)
Population: Patients undergoing diagnostic or therapeutic ERCP
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Post‐ERCP pancreatitis (PEP) Guidewire‐assisted cannulation vs contrast‐assisted cannulation | RR 0.51 [0.36, 0.72] | 15 studies · 4426 participants | Moderate Downgraded: risk of bias |
Primary cannulation success Guidewire‐assisted cannulation vs contrast‐assisted cannulation | RR 1.06 [1.01, 1.12] | 13 studies · 3962 participants | Low Downgraded: risk of bias |
Overall cannulation success Guidewire‐assisted cannulation vs contrast‐assisted cannulation | RR 1.01 [1, 1.03] | 15 studies · 4426 participants | Moderate Downgraded: risk of bias |
Need for precut sphincterotomy Guidewire‐assisted cannulation vs contrast‐assisted cannulation | RR 0.79 [0.64, 0.96] | 10 studies · 2849 participants | Moderate Downgraded: risk of bias |
Post‐sphincterotomy bleeding Guidewire‐assisted cannulation vs contrast‐assisted cannulation | RR 0.87 [0.49, 1.54] | 7 studies · 2122 participants | Low Downgraded: risk of bias |
Perforation Guidewire‐assisted cannulation vs contrast‐assisted cannulation | RR 0.93 [0.11, 8.23] | 8 studies · 2522 participants | Very low Downgraded: risk of bias |
Mortality Guidewire‐assisted cannulation vs contrast‐assisted cannulation | no estimate extracted | 6 studies · 2276 participants | Moderate Downgraded: risk of bias |