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World J Gastroenterol. 2012 Dec 28;18(48):7394-6. doi: 10.3748/wjg.v18.i48.7394.

Entering the duodenal diverticulum: a method for cannulation of the intradiverticular papilla.

Author information

1
Department of Gastroenterology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200092, China.

Abstract

Successful cannulation of the common bile duct may be difficult in patients in whom the papilla is located entirely within a diverticulum. In this study, we report successful biliary cannulation in three patients following intubation of the distal tip of the duodenoscope into the duodenal diverticulum and locating the major papilla. No complications occurred during the operation or during the postoperative period. This method didn't need second incubation an endoscope and might lower the burden of patients. So this skill is useful to deal with the papilla hidden inside the large diverticulum because of its safety and convenience.

KEYWORDS:

Duodenoscope; Endoscopic retrograde cholangiopancreatography; Intradiverticular papilla

PMID:
23326150
PMCID:
PMC3544047
DOI:
10.3748/wjg.v18.i48.7394
[Indexed for MEDLINE]
Free PMC Article
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