Technical overview of difficult biliary cannulation in endoscopic retrograde cholangiopancreatography: A guide for the endoscopist

doi:10.3748/wjg.114936

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastroenterol. Jul 14, 2026; 32(26): 114936
Published online Jul 14, 2026. doi: 10.3748/wjg.114936

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Figure 7 Algorithm for approach to a case of difficult biliary cannulation during endoscopic retrograde cholangiopancreatography. PD: Pancreatic duct; NK: Needle knife; PDS: Pancreatic duct stent; TPS: Transpancreatic sphincterotomy; DGW: Double guidewire; NKF: Needle knife fistulotomy; NKPP: Needle knife precut papillotomy; EUS-RV: Endoscopic ultrasound guided rendezvous technique; PTBD: Percutaneous trans-hepatic biliary drainage.

Citation: Mishra S, Dhar J, Crinò SF, Samanta J. Technical overview of difficult biliary cannulation in endoscopic retrograde cholangiopancreatography: A guide for the endoscopist. World J Gastroenterol 2026; 32(26): 114936
URL: https://www.wjgnet.com/1007-9327/full/v32/i26/114936.htm
DOI: https://dx.doi.org/10.3748/wjg.114936

Mishra S, Dhar J, Crinò SF, Samanta J. Technical overview of difficult biliary cannulation in endoscopic retrograde cholangiopancreatography: A guide for the endoscopist. World J Gastroenterol 2026; 32(26): 114936 [DOI: 10.3748/wjg.114936]

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