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Clinical Medicine: Gastroenterology

Synopsis: An open access, peer reviewed electronic journal that covers diagnosis, management and prevention of gastroenterological conditions.


Indexing: 5 major databases. Pubmed indexing for NIH-funded research.

Processing time: Decision in 2 weeks for 90% of papers.

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About this journal

Aims and scope:

Clinical Medicine: Gastroenterology is an international, open access, peer reviewed journal which considers manuscripts on all aspects of the diagnosis, management and prevention of gastroenterological disorders, in addition to related genetic, pathophysiological and epidemiological topics.

Editorial standards and procedures:

Submissions, excluding editorials, letters to the editor and dedications, will be peer reviewed by two reviewers.  Reviewers are required to provide fair, balanced and constructive reports.  

Under our Fairness in Peer Review Policy authors may appeal against reviewers' recommendations which are ill-founded, unobjective or unfair.  Appeals are considered by the Editor in Chief or Associate Editor.

Papers are not sent to peer reviewers following submission of a revised manuscript. Editorial decisions on re-submitted papers are based on the author's response to the initial peer review report.

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This journal is indexed by the following services:

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National Institutes of Health Public Access Policy compliant:

As of April 7 2008, the US NIH Public Access Policy requires that all peer reviewed articles resulting from research carried out with NIH funding be deposited in the Pubmed Central archive.

If you are an NIH employee or grantee Libertas Academica will ensure that you comply with the policy by depositing your paper at Pubmed Central on your behalf. 

ISSN: 1178-119X


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Endoscopic Needle Knife Precut Papillotomy for Inaccessible Bile Duct Following Failed Pancreatic Duct Access

Authors: Hiroyuki Miyatani and Yukio Yoshida
Publication Date: 16 Dec 2008
Clinical Medicine: Gastroenterology 2009:2 1-5

Hiroyuki Miyatani and Yukio Yoshida

Department of Gastroenterology, Jichi Medical University, Saitama Medical Center, Saitama, Japan.

Abstract

Aims:  To evaluate the safety, effectiveness, success rate and complications of needle knife precut papillotomy for inaccessible bile duct after failed pancreatic ducts access.

Methods:  Selective common bile duct cannulation was required for 582 patients from November 2004 to May 2008. Precut sphincterotomy was performed in 28 patients (16 male, 12 female; mean age 71). When standard bile duct cannulation was unsuccessful after more than 20 minutes, the bile duct was considered inaccessible. Group A consisted of patients where pancreatic duct access was possible and transpancreatic papillary septotomy was performed (20 patients). If pancreatic duct cannulation also failed, needle knife precut method was performed and these patients belonged to group B (8 patients). The success and complication rates of the two groups were compared using the Chi-square test.

Results:  The success rates were 85% and 87.5% respectively. Of the 28 patients in group A, 6 had mild to moderate pancreatitis and one patient had mild bleeding. The complication rates were 35% and 0% respectively and the differences were not significant.

Conclusion:  Needle knife precut papillotomy is useful and acceptable in patients after failed pancreatic duct access.

Categories: Gastroenterology


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