Reflections on needle-knife papillotomy (with videos)

摘要

Two generations of ERCP endoscopists have been indoctrinated into thinking that needle-knife papillotomy (NKP) is a dangerous procedure that should only be performed by experts. A report from Denmark looking at severe and fatal adverse events of ERCP resulting in litigation between 1992 and 1996 concluded that NKP "should still be regarded as a dangerous procedure."1 Early published studies typically reported adverse event rates of NKP that were often double that of standard biliary sphinc-terotomy.