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. 2010 Jan 20;2010(1):CD003974. doi: 10.1002/14651858.CD003974.pub3

Lamazza 1986.

Methods Design: three group parallel trial 
 Purpose: examine the effect of pinaverium bromide (antispasmodic and analgesic drug) in the premedication of endoscopic retrograde cholangio‐pancreaticography (ERCP) and on the motor activity of the sphincter of Oddi
Participants Patients: with biliary and pancreatic disease and in need of a ERCP 
 Baseline comparability: NS
Interventions Placebo: tablet with no pinaverium bromide 
 Untreated: no tablet 
 Experimental: tablet with pinaverium bromide 
 (Co‐intervention: diazepam injection, 10 to 20 mg)
Outcomes Patient's tolerance of procedure 
 Time for procedure 
 Sphincter of Oddi pressure and wave pattern
Notes Relevant outcome data not accessible
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider Low risk 'A double‐blind study was carried out...'
Blinding? 
 Outcome assessor Unclear risk NS
Incomplete outcome data addressed? 
 All outcomes High risk Drop‐out > 15% or NS
Free of selective reporting? High risk Relevant outcome data not accessible
Free of other bias? Low risk  
Trial size > 49? High risk N = 12
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49