Cochrane · systematic review · CD010571
Pancreatic duct guidewire placement for biliary cannulation for the prevention of post‐endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis
Tse, F, Yuan, Y, Bukhari, M, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library
GutAMSTAR 2: not assessed
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 0 · 0%Low 7 · 100%Moderate 0 · 0%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
Pancreatic duct guidewire (PGW) or double guidewire technique (DGT) compared to other endoscopic techniques for the prevention of post‐endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis
Population: people with biliary cannulation for the prevention of post‐ERCP pancreatitis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Post‐ERCP pancreatitis Pancreatic duct guidewire (PGW) or double guidewire technique (DGT) vs other endoscopic techniques | RR 1.98 [1.14, 3.42] | 7 studies · 577 participants | Low Downgraded: risk of bias, imprecision, publication bias |
CBD cannulation success with the randomised technique (before the use of rescue techniques) Pancreatic duct guidewire (PGW) or double guidewire technique (DGT) vs other endoscopic techniques | RR 1.04 [0.87, 1.24] | 7 studies · 577 participants | Low Downgraded: risk of bias |
Overall cannulation success Pancreatic duct guidewire (PGW) or double guidewire technique (DGT) vs other endoscopic techniques | RR 1.04 [0.91, 1.18] | 7 studies · 577 participants | Low Downgraded: risk of bias |
Post‐ERCP bleeding Pancreatic duct guidewire (PGW) or double guidewire technique (DGT) vs other endoscopic techniques | RR 0.48 [0.13, 1.79] | 6 studies · 513 participants | Low Downgraded: risk of bias, imprecision |
Post‐ERCP perforation Pancreatic duct guidewire (PGW) or double guidewire technique (DGT) vs other endoscopic techniques | RR 0.94 [0.06, 14.78] | 6 studies · 513 participants | Low Downgraded: risk of bias, imprecision |
Post‐ERCP cholangitis Pancreatic duct guidewire (PGW) or double guidewire technique (DGT) vs other endoscopic techniques | RR 2.71 [0.79, 9.35] | 4 studies · 373 participants | Low Downgraded: risk of bias, imprecision |
Mortality Pancreatic duct guidewire (PGW) or double guidewire technique (DGT) vs other endoscopic techniques | RR 0.31 [0.01, 7.58] | 2 studies · 258 participants | Low Downgraded: risk of bias, imprecision |