Double guidewire cannulation technique versus cannulation over pancreatic stent after unintended pancreatic duct cannulation

Description

Mohammed Hussien Ahmed, Eslam Elshennawy, and Aya M Mahros present a 2026 study comparing two rescue techniques when a scope procedure goes off course. During a bile duct procedure, the guidewire sometimes slips into the pancreatic duct by mistake. Doctors can then thread a second wire alongside, or thread the target duct over a small stent left in the pancreas.

The study followed 103 patients at one Egyptian university hospital in late 2024. The double-wire route reached the bile duct faster, in about eight minutes against twelve. The stent route far more often needed a pre-cut opening first. The authors note the stent route may lower one inflammation risk, so choice turns on the case.

Catalog record

Source: https://europepmc.org/articles/PMC13386246