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World J Gastroenterol. Dec 28, 2012; 18(48): 7394-7396
Published online Dec 28, 2012. doi: 10.3748/wjg.v18.i48.7394
Published online Dec 28, 2012. doi: 10.3748/wjg.v18.i48.7394
Entering the duodenal diverticulum: A method for cannulation of the intradiverticular papilla
Bao-Can Wang, Yu-Qin Wang, Department of Gastroenterology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200092, China
Wei-Bin Shi, Wen-Jie Zhang, Jun Gu, Yi-Jing Tao, Xue-Feng Wang, Department of General Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200092, China
Author contributions: Wang BC and Shi WB contributed equally to this work; Wang BC and Shi WB collected the data and wrote the manuscript; Zhang WJ, Gu J, Tao YJ, Wang YQ and Wang XF performed the ERCP.
Supported by National Natural Science Foundation of China, No. 30900671; Shanghai Natural Science Foundation, No. 09ZR1419700
Correspondence to: Xue-Feng Wang, Professor, Department of General Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200092, China. wxxfd@live.cn
Telephone: +86-21-25077905 Fax: +86-21-25078999
Received: August 26, 2012
Revised: September 27, 2012
Accepted: October 19, 2012
Published online: December 28, 2012
Revised: September 27, 2012
Accepted: October 19, 2012
Published online: December 28, 2012
Abstract
Successful cannulation of the common bile duct may be difficult in patients in whom the papilla is located entirely within a diverticulum. In this study, we report successful biliary cannulation in three patients following intubation of the distal tip of the duodenoscope into the duodenal diverticulum and locating the major papilla. No complications occurred during the operation or during the postoperative period. This method didn’t need second incubation an endoscope and might lower the burden of patients. So this skill is useful to deal with the papilla hidden inside the large diverticulum because of its safety and convenience.