Clip and endoloop lifting technique to assist cannulation of a hardly reachable papilla because of anatomical changes due to surgery

Rev Esp Enferm Dig. 2017 Feb;109(2):165. doi: 10.17235/reed.2016.4365/2016.

Abstract

Bile duct cannulation by ERCP can be difficult because of different reasons. We present a patient with a hardly reachable papilla because of anatomical changes due to surgery. A clip, an endoloop and a guide wire were used to lift the papilla and pull it, achieving a successful cannulation.

Publication types

  • Case Reports

MeSH terms

  • Ampulla of Vater / diagnostic imaging
  • Ampulla of Vater / surgery*
  • Catheterization / methods*
  • Cholangiopancreatography, Endoscopic Retrograde / methods
  • Drainage
  • Duodenoscopy
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications
  • Sphincterotomy, Endoscopic
  • Stents
  • Surgical Instruments