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Articles Published Processes
6/30/2026 1:40:18 PM | Browse: 0 | Download: 0
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Received |
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2025-10-09 16:31 |
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Peer-Review Started |
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2025-10-09 16:31 |
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First Decision by Editorial Office Director |
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2025-10-23 09:25 |
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Return for Revision |
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2025-10-23 09:25 |
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Revised |
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2026-02-06 07:46 |
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Publication Fee Transferred |
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Second Decision by Editor |
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2026-03-23 02:44 |
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Second Decision by Editor-in-Chief |
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Final Decision by Editorial Office Director |
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2026-03-23 09:00 |
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Articles in Press |
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2026-03-23 09:00 |
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Edit the Manuscript by Language Editor |
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2026-03-27 22:10 |
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Typeset the Manuscript |
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2026-06-16 00:17 |
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Publish the Manuscript Online |
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2026-06-30 13:40 |
| ISSN |
1007-9327 (print) and 2219-2840 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Minireviews |
| Article Title |
Technical overview of difficult biliary cannulation in endoscopic retrograde cholangiopancreatography: A guide for the endoscopist
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| Manuscript Source |
Invited Manuscript |
| All Author List |
Shubhra Mishra, Jahnvi Dhar, Stefano F Crinò and Jayanta Samanta |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Jayanta Samanta, Additional Professor, DM, Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Sector-12, Nehru Hospital, Chandigarh 160012, India. invincible.doc@gmail.com |
| Key Words |
Endoscopic retrograde cholangiopancreatography; Bile duct; Needle knife; Double guidewire; Rendezvous; Transpancreatic sphincterotomy; Pancreatitis |
| Core Tip |
Difficult biliary cannulation remains a significant challenge during endoscopic retrograde cholangiopancreatography, even in expert hands and high-volume centers, which has been shown to directly impact technical success and patient outcomes. This comprehensive review highlights current strategies available in hand for managing such clinical scenarios when encountered, including early identification of risk factors, optimized guidewire techniques, and the judicious use of advanced approaches such as pre-cut sphincterotomy, double guidewire technique, transpancreatic septotomy and endoscopic ultrasound -guided rendezvous technique. Understanding the timing and escalation to alternative methods or referral is critical. A structured, stepwise approach by practising endoscopists enhances technical success and reduces complications in such challenging clinical scenarios. |
| Publish Date |
2026-06-30 13:40 |
| Citation |
Mishra S, Dhar J, Crinò SF, Samanta J. Technical overview of difficult biliary cannulation in endoscopic retrograde cholangiopancreatography: A guide for the endoscopist. World J Gastroenterol 2026; 32(26): 114936
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| URL |
https://www.wjgnet.com/1007-9327/full/v32/i26/114936.htm |
| DOI |
https://doi.org/10.3748/wjg.114936 |
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