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Combined use of a two-channel endoscope and a flexible tip catheter for difficult biliary cannulation

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Title: Combined use of a two-channel endoscope and a flexible tip catheter for difficult biliary cannulation
Authors: Kuwatani, Masaki Browse this author →KAKEN DB
Kubota, Yoshimasa Browse this author
Kawahata, Shuhei Browse this author
Kubo, Kimitoshi Browse this author
Kawakubo, Kazumichi Browse this author
Kawakami, Hiroshi Browse this author
Sakamoto, Naoya Browse this author
Keywords: Bile duct obstruction
Issue Date: 30-Apr-2018
Publisher: Society of Gastrointestinal Intervention
Journal Title: Gastrointestinal Intervention
Volume: 7
Issue: 1
Start Page: 34
End Page: 35
Publisher DOI: 10.18528/gii160024
Abstract: A 69-year-old woman with jaundice was referred to our hospital. After a final diagnosis of pancreatic cancer with liver metastasis, we performed transpapillary biliary drainage with a covered self-expandable metal stent (SEMS). Three months later, we also placed an uncovered duodenal stent for duodenal stricture in a side-to-end fashion. Another month later, for biliary SEMS obstruction, we attempted a transpapillary approach. A duodenoscope was advanced and a guidewire was passed through the mesh of the duodenal stent into the bile duct with a flexible tip catheter, but the catheter was not. Thus, we exchanged the duodenoscope for a forward-viewing two-channel endoscope and used the left working channel with a flexible tip catheter. By adjusting the axis, we finally succeeded biliary cannulation and accomplished balloon cleaning for recanalization of the SEMS. This is the first case with successful biliary cannulation by combined use of a two-channel endoscope and a flexible tip catheter.
Type: article
Appears in Collections:北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 桒谷 将城

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