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Video 1The magnetic resonance cholangiography showed an abrupt narrowing of the terminal common bile duct.Video 2Biliary drainage at the end of the procedure.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9716575 | PMC |
http://dx.doi.org/10.1016/j.vgie.2022.08.022 | DOI Listing |
J Hepatobiliary Pancreat Sci
August 2025
Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.
An intradiverticular papilla can make biliary cannulation challenging during endoscopic retrograde cholangiopancreatography. With an accompanying video, Asano and colleagues describe their technique using a traction device to expose the papilla and a rotatable sphincterotome to align with the bile duct axis, achieving successful biliary cannulation without adverse events.
View Article and Find Full Text PDFJ Dig Dis
January 2025
Department of Gastroenterology, West China Hospital of Sichuan University, Chengdu, Sichuan Province, China.
Objectives: Periampullary diverticulum (PAD) is usually incidentally discovered during abdominal imaging, gastrointestinal endoscopy, and endoscopic retrograde cholangiopancreatography (ERCP). The influence of PAD on ERCP outcomes is unclear. The aim of this systematic review and meta-analysis was to provide an up-to-date evaluation of the impact of PAD on cannulation and ERCP-related complications.
View Article and Find Full Text PDFACG Case Rep J
November 2024
Gastroenterology and Hepatology, Cardioinfantil-La Cardio Foundation, Bogotá, Colombia.
Biliary cannulation in the context of intradiverticular papilla (IDP) during endoscopic retrograde cholangiopancreatography (ERCP) remains a challenge even for experts. A 71-year-old woman with choledocholithiasis failed extrainstitutional ERCP because of the presence of IDP. A new ERCP was performed, identifying papillary orifice at the edge of the diverticulum, biliary cannulation by means of SpyBite and sphincterotome, visualizing intra and extrahepatic bile duct dilatation, proceeding to large balloon bilioplasty with extraction of biliary sludge, with optimal results and without complications.
View Article and Find Full Text PDFVideoGIE
August 2024
Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
J Gastrointestin Liver Dis
June 2024
Endoscopic Center, Osaka Medical and Pharmaceutical University Hospital, Osaka, Japan.