The Role and Appropriate Selection of Guidewires in Biliopancreatic Endoscopy

Guidewires are indispensable tools in biliopancreatic endoscopy, playing a critical role in facilitating access and enabling the advancement of various devices during interventions such as Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasound (EUS)-guided procedures. These...

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Main Authors: Daniele Alfieri, Claudia Delogu, Stefano Mazza, Aurelio Mauro, Erica Bartolotta, Alessandro Cappellini, Davide Scalvini, Francesca Torello Viera, Marco Bardone, Andrea Anderloni
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/61/5/913
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author Daniele Alfieri
Claudia Delogu
Stefano Mazza
Aurelio Mauro
Erica Bartolotta
Alessandro Cappellini
Davide Scalvini
Francesca Torello Viera
Marco Bardone
Andrea Anderloni
author_facet Daniele Alfieri
Claudia Delogu
Stefano Mazza
Aurelio Mauro
Erica Bartolotta
Alessandro Cappellini
Davide Scalvini
Francesca Torello Viera
Marco Bardone
Andrea Anderloni
author_sort Daniele Alfieri
collection DOAJ
description Guidewires are indispensable tools in biliopancreatic endoscopy, playing a critical role in facilitating access and enabling the advancement of various devices during interventions such as Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasound (EUS)-guided procedures. These devices are primarily used to achieve and maintain access to lumens, ensuring the success of complex therapeutic maneuvers. Guidewires vary widely in terms of material, structure, length, diameter, and tip shape, offering distinct advantages depending on the clinical context. Therefore, selecting the appropriate guidewire is crucial and must be tailored to the specific requirements of each procedure. This article provides a comprehensive review of the current landscape of guidewire use in biliopancreatic endoscopy, emphasizing their importance, characteristics, and best practices for selection to optimize patient outcomes. By reviewing existing guidelines and the literature, this paper aims to enhance the endoscopist’s understanding of guidewire technology and its application in biliopancreatic endoscopy.
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issn 1010-660X
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publishDate 2025-05-01
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series Medicina
spelling doaj-art-cc357db2975849f9be5625307ecb4b7b2025-08-20T02:33:58ZengMDPI AGMedicina1010-660X1648-91442025-05-0161591310.3390/medicina61050913The Role and Appropriate Selection of Guidewires in Biliopancreatic EndoscopyDaniele Alfieri0Claudia Delogu1Stefano Mazza2Aurelio Mauro3Erica Bartolotta4Alessandro Cappellini5Davide Scalvini6Francesca Torello Viera7Marco Bardone8Andrea Anderloni9Gastroenterology and Endoscopy Unit, IRCCS Foundation Policlinico San Matteo, 27100 Pavia, ItalyGastroenterology and Endoscopy Unit, IRCCS Foundation Policlinico San Matteo, 27100 Pavia, ItalyGastroenterology and Endoscopy Unit, IRCCS Foundation Policlinico San Matteo, 27100 Pavia, ItalyGastroenterology and Endoscopy Unit, IRCCS Foundation Policlinico San Matteo, 27100 Pavia, ItalyGastroenterology and Endoscopy Unit, IRCCS Foundation Policlinico San Matteo, 27100 Pavia, ItalyGastroenterology and Endoscopy Unit, IRCCS Foundation Policlinico San Matteo, 27100 Pavia, ItalyGastroenterology and Endoscopy Unit, IRCCS Foundation Policlinico San Matteo, 27100 Pavia, ItalyGastroenterology and Endoscopy Unit, IRCCS Foundation Policlinico San Matteo, 27100 Pavia, ItalyGastroenterology and Endoscopy Unit, IRCCS Foundation Policlinico San Matteo, 27100 Pavia, ItalyGastroenterology and Endoscopy Unit, IRCCS Foundation Policlinico San Matteo, 27100 Pavia, ItalyGuidewires are indispensable tools in biliopancreatic endoscopy, playing a critical role in facilitating access and enabling the advancement of various devices during interventions such as Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopic Ultrasound (EUS)-guided procedures. These devices are primarily used to achieve and maintain access to lumens, ensuring the success of complex therapeutic maneuvers. Guidewires vary widely in terms of material, structure, length, diameter, and tip shape, offering distinct advantages depending on the clinical context. Therefore, selecting the appropriate guidewire is crucial and must be tailored to the specific requirements of each procedure. This article provides a comprehensive review of the current landscape of guidewire use in biliopancreatic endoscopy, emphasizing their importance, characteristics, and best practices for selection to optimize patient outcomes. By reviewing existing guidelines and the literature, this paper aims to enhance the endoscopist’s understanding of guidewire technology and its application in biliopancreatic endoscopy.https://www.mdpi.com/1648-9144/61/5/913ERCPEUSbiliopancreatic endoscopybiliary drainagedifficult biliary cannulationhepaticogastrostomy
spellingShingle Daniele Alfieri
Claudia Delogu
Stefano Mazza
Aurelio Mauro
Erica Bartolotta
Alessandro Cappellini
Davide Scalvini
Francesca Torello Viera
Marco Bardone
Andrea Anderloni
The Role and Appropriate Selection of Guidewires in Biliopancreatic Endoscopy
Medicina
ERCP
EUS
biliopancreatic endoscopy
biliary drainage
difficult biliary cannulation
hepaticogastrostomy
title The Role and Appropriate Selection of Guidewires in Biliopancreatic Endoscopy
title_full The Role and Appropriate Selection of Guidewires in Biliopancreatic Endoscopy
title_fullStr The Role and Appropriate Selection of Guidewires in Biliopancreatic Endoscopy
title_full_unstemmed The Role and Appropriate Selection of Guidewires in Biliopancreatic Endoscopy
title_short The Role and Appropriate Selection of Guidewires in Biliopancreatic Endoscopy
title_sort role and appropriate selection of guidewires in biliopancreatic endoscopy
topic ERCP
EUS
biliopancreatic endoscopy
biliary drainage
difficult biliary cannulation
hepaticogastrostomy
url https://www.mdpi.com/1648-9144/61/5/913
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