SpyBite-Assisted Biliary Cannulation Facilitating Endoscopic Retrograde Cholangiopancreatography in the Presence of Intradiverticular Papilla.

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2024-11-06 eCollection Date: 2024-11-01 DOI:10.14309/crj.0000000000001543

Juan Sebastián Frías-Ordoñez, Martín Alonso Garzón Olarte, Geovanny Hernández-Cely

引用次数: 0

Abstract

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. This strategy was effective and safe. It could be recommended for difficult cannulation in the presence of IDP.

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SpyBite 辅助胆道套管术促进憩室内乳头的内镜逆行胰胆管造影术

在内镜逆行胰胆管造影术（ERCP）中，在憩室内乳头（IDP）的情况下进行胆道插管，即使对专家来说也是一项挑战。一名患有胆总管结石的 71 岁女性因存在 IDP 而未能通过院外 ERCP。她接受了新的ERCP，在憩室边缘发现了乳头状开口，通过SpyBite和括约肌切开器进行胆道插管，观察到肝内外胆管扩张，然后进行大球囊胆管成形术，取出胆汁淤积物，取得了最佳效果，且无并发症。这种策略既有效又安全。对于存在 IDP 的困难插管，可以推荐使用这种方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.