Rotatable sphincterotome facilitates bile duct cannulation in patients with altered ampullary anatomy.
作者： Bhawna Halwan , José Humberto Giordano-Nappi , George Cortas , Atul Kumar , Paulo Sakai
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摘要: In patients who have undergone prior Billroth-II (B-II) anastomosis, endoscopic retrograde cholangiopancreatography (ERCP) is challenging due to altered duodenal anatomy, which requires use of customized sphincterotomes. We report the a standard rotat-able sphincterotome for successful cannulation in 5 with B-II gastrojejunostomy and 1 patient choledochoduodenostomy. our experience, intervention were successfully accomplished all without any complications. Although retrospective case series analysis limits conclusiveness findings, we believe that rotatable can be utilized cannulate common bile duct thereby eliminating need maintain an inventory specialized accessories.
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