胆管镜微型钳辅助插管：另一种工具，工具箱中的困难插管

Q3 Medicine

VideoGIE Pub Date : 2025-10-01 DOI:10.1016/j.vgie.2025.05.011

Nicholas Noverati MD, Pedro Palacios Argueta MD, Faisal Kamal MD

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引用次数: 0

摘要

背景和目的在ERCP期间胆道插管有很多困难的原因。插管技术包括双导丝、针刀括约肌切开术、eus引导交会和牵引辅助。我们描述了一个案例，其中使用胆管镜微型钳工具允许牵引辅助插管软软的主要乳头。方法采用胆道镜微型钳配合双导丝技术辅助取管。结果1例肝门肿物致胆道梗阻患者成功行胆道插管。这允许胆管镜检查与活检（使用小钳）以及刷牙进行组织学诊断。放置3个塑料支架进行减压。结论在困难的ERCP插管中，特别是遇到多余的壶腹周围粘膜时，应考虑使用小钳牵引辅助技术。

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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Cholangioscopy miniforceps-assisted cannulation: another tool in the toolbox for difficult cannulation

Background and Aims

Biliary cannulation during ERCP can be difficult for many reasons. Cannulation techniques include double-guidewire, needle-knife sphincterotomy, EUS-guided rendezvous, and traction assistance. We describe a case where the use of a cholangioscopy miniforceps tool allowed for traction-assisted cannulation of a floppy major papilla.

Methods

Traction assistance using a cholangioscopy miniforceps along with double-guidewire technique was used.

Results

Successful biliary cannulation was achieved in a patient with biliary obstruction due to a hilar mass. This allowed for cholangioscopic examination with biopsies (using miniforceps) as well as brushings for histologic diagnosis. Three plastic stents were placed for decompression.

Conclusions

Traction-assisted technique using miniforceps should be considered in difficult ERCP cannulation, especially if redundant periampullary mucosa is encountered.

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来源期刊

VideoGIE Medicine-Gastroenterology

CiteScore

1.50

自引率

0.00%

发文量

132

审稿时长

105 days

期刊介绍： VideoGIE, an official video journal of the American Society for Gastrointestinal Endoscopy, is an Open Access, online-only journal to serve patients with digestive diseases. VideoGIE publishes original, single-blinded peer-reviewed video case reports and case series of endoscopic procedures used in the study, diagnosis, and treatment of digestive diseases. Videos demonstrate use of endoscopic systems, devices, and techniques; report outcomes of endoscopic interventions; and educate physicians and patients about gastrointestinal endoscopy. VideoGIE serves the educational needs of endoscopists in training as well as advanced endoscopists, endoscopy staff and industry, and patients. VideoGIE brings video commentaries from experts, legends, committees, and leadership of the society. Careful adherence to submission guidelines will avoid unnecessary delays, as incomplete submissions may be returned to the authors before initiation of the peer review process.