Biliary cannulation facilitated by endoscopic clip assistance in the setting of intradiverticular papilla

Endoscopic cannulation of the biliary tract may be challenging in cases with juxtapapillary, duodenal diverticula. A 70-year-old woman admitted to the hospital with the diagnosis of choledocholithiasis and acute cholangitis. She was placed on antibiotic treatment and parenteral fluid resuscitation. On endoscopic retrograde cholangiopancreatography, the papilla could not be cannulated because of the duodenal diverticulum. Various attempts at biliary cannulation failed. Endoscopic clips were used for evertion and fixation of a partially everted papilla from the diverticulum and for securing it in an orientation that allowed direct cannulation of the biliary tree. Cholangiography demonstrated multiple calculi within the choledochus. She was discharged from the hospital on the 9th day following endoscopic retrograde cholangiopancreatography in good condition. With this report, we aimed to remind physicians that the clip-assisted method is a safe and effective technique for pancreatic and/or biliary cannulation, and should be preferred in patients in whom cannulation is extremely difficult due to large periampullary diverticula.

Dergi Adı Turkish Journal of Gastroenterology
Dergi Cilt Bilgisi 20
Dergi Sayısı 4
Sayfalar 279 - 281
Yayın Yılı 2009
Eser Adı
[dc.title]
Biliary cannulation facilitated by endoscopic clip assistance in the setting of intradiverticular papilla
Yazar
[dc.contributor.author]
Üstündag Y.
Yazar
[dc.contributor.author]
Karakaya K.
Yazar
[dc.contributor.author]
Aydemir S.
Yayın Yılı
[dc.date.issued]
2009
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Endoscopic cannulation of the biliary tract may be challenging in cases with juxtapapillary, duodenal diverticula. A 70-year-old woman admitted to the hospital with the diagnosis of choledocholithiasis and acute cholangitis. She was placed on antibiotic treatment and parenteral fluid resuscitation. On endoscopic retrograde cholangiopancreatography, the papilla could not be cannulated because of the duodenal diverticulum. Various attempts at biliary cannulation failed. Endoscopic clips were used for evertion and fixation of a partially everted papilla from the diverticulum and for securing it in an orientation that allowed direct cannulation of the biliary tree. Cholangiography demonstrated multiple calculi within the choledochus. She was discharged from the hospital on the 9th day following endoscopic retrograde cholangiopancreatography in good condition. With this report, we aimed to remind physicians that the clip-assisted method is a safe and effective technique for pancreatic and/or biliary cannulation, and should be preferred in patients in whom cannulation is extremely difficult due to large periampullary diverticula.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Acute cholangitis
Konu Başlıkları
[dc.subject]
Duodenal diverticulum
Konu Başlıkları
[dc.subject]
Endoscopic biliary cannulation
Konu Başlıkları
[dc.subject]
Endoscopic clip application
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
1300-4948
İlk Sayfa Sayısı
[dc.identifier.startpage]
279
Son Sayfa Sayısı
[dc.identifier.endpage]
281
Dergi Adı
[dc.relation.journal]
Turkish Journal of Gastroenterology
Dergi Sayısı
[dc.identifier.issue]
4
Dergi Cilt Bilgisi
[dc.identifier.volume]
20
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.4318/tjg.2009.0027
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/4500
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
17
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
09 Şubat 2024 23:06
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Tıklayınız
cannulation biliary Endoscopic diverticulum retrograde cholangiopancreatography papilla endoscopic hospital diverticula duodenal Cholangiography demonstrated condition multiple following choledochus calculi discharged within method report should periampullary difficult extremely patients preferred and/or pancreatic technique effective clip-assisted physicians remind
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