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5%, pylorus preserving pancreaticoduodenectomy (PpPD) 4.2%, Billroth-II gastrectomy (B-II) 11.6%, and other reconstruction method (others) 7.4%. The contributing factors calculated by a multivariate analysis were B-II (odds ratio [OR] 1.864, 95% confidence interval [CI] 1.001-3.471, p = 0.05, and the presence of naïve papilla (OR 3.268, 95% CI 1.426-7.490, p = 0.005). CONCLUSIONS DB-ERCP is a safe method with a total complication rate of 5.8% which could be considered within an acceptable range. The most common complication was the inju
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