Year 2017 / Volume 109 / Number 2
Letter to the Editor
Clip and endoloop lifting technique to assist cannulation of a hardly reachable papilla because of anatomical changes due to surgery

165

DOI: 10.17235/reed.2016.4365/2016

Maite Alonso Sierra, Santiago González Vázquez, Miguel Muñoz-Navas,

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.
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References
1. Yang MJ, Hwang JC, Yoo BM, et al. Wire-guided cannulation over a pancreatic stent versus double guidewire technique in patients with difficult biliary cannulation. BMC Gastroenterol. 2015 Oct 28; 15:150.
2. Udd M, Kylänpää L, Halttunen J. Management of difficult bile duct cannulation in ERCP. World J Gastrointest Endosc. 2010 Mar 16; 2(3):97-103.
3. Yasuda I, Isayama H, Bhatia V. Current situation of endoscopic biliary cannulation and salvage techniques for difficult cases - Current strategies in Japan. Dig Endosc. 2015 19.
4. Khan MA, Akbar A, Baron TH, et al. Endoscopic Ultrasound-Guided Biliary Drainage: A Systematic Review and Meta-Analysis.Dig Dis Sci. 2016; 61(3):684-703.
5. Valente R, Baldaque-Silva F, Siiki A, et al. Clip and snare lifting technique to assist cannulation of a papilla hidden behind a mucosal fold. Endoscopy. 2015; 47:517-8.
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Alonso Sierra M, González Vázquez S, Muñoz-Navas M. Clip and endoloop lifting technique to assist cannulation of a hardly reachable papilla because of anatomical changes due to surgery. 4365/2016


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Publication history

Received: 07/04/2016

Accepted: 11/06/2016

Online First: 23/12/2016

Published: 31/01/2017

Article revision time: 59 days

Article Online First time: 260 days

Article editing time: 299 days


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