Optimal Use of Wire-Assisted Techniques and Precut Sphincterotomy
Various endoscopic techniques have been developed to overcome the difficulties in biliary or pancreatic access during endoscopic retrograde cholangiopancreatography, according to the preference of the endoscopist or the aim of the procedures. In terms of endoscopic methods, guidewire-assisted cannul...
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| Main Authors: | , |
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| Format: | Book |
| Published: |
Korean Society of Gastrointestinal Endoscopy,
2016-09-01T00:00:00Z.
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| Online Access: | Connect to this object online. |
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| Summary: | Various endoscopic techniques have been developed to overcome the difficulties in biliary or pancreatic access during endoscopic retrograde cholangiopancreatography, according to the preference of the endoscopist or the aim of the procedures. In terms of endoscopic methods, guidewire-assisted cannulation is a commonly used and well-known initial cannulation technique, or an alternative in cases of difficult cannulation. In addition, precut sphincterotomy encompasses a range of available rescue techniques, including conventional precut, precut fistulotomy, transpancreatic septotomy, and precut after insertion of pancreatic stent or pancreatic duct guidewire-guided septal precut. We present a literature review of guidewire-assisted cannulation as a primary endoscopic method and the precut technique for the facilitation of selective biliary access. |
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| Item Description: | 2234-2400 2234-2443 10.5946/ce.2016.103 |