Successful endoscopic retrograde cholangiopancreatography using pancreatic guidewire placement for biliary cannulation in a patient with situs inversus and Billroth-I gastrectomy (with video)

被引：3
|
作者：
Tanisaka, Yuki [1 ]
Ryozawa, Shomei [1 ]
Sudo, Kosuke [2 ]
Fujita, Akashi [1 ]
Mizuide, Masafumi [1 ]
Nonaka, Kouichi [1 ]
Tashima, Tomoaki [1 ]
机构：
[1] Saitama Med Univ, Dept Gastroenterol, Int Med Ctr, 1397-1 Yamane, Hidaka, Saitama 3501298, Japan
[2] Southern Tohoku Gen Hosp, Dept Gastroenterol, Iwanuma, Miyagi, Japan
来源：
JGH OPEN | 2019年 / 3卷 / 06期
关键词：
situs inversus; ERCP; Billroth-I gastrectomy; pancreatic guidewire placement for biliary cannulation; SUCCESSFUL ERCP;
D O I：
10.1002/jgh3.12163
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
We reported a 95-year-old man with cholangitis who underwent Billroth-I gastrectomy. He was diagnosed with situs inversus viscerum and ERCP was performed. A stable field of view could not be secured due to anatomical factors (Billroth-I gastrectomy) and strong respiratory variations. However, pancreatic duct cannulation was possible. A pancreatic guidewire was placed to achieve selective biliary cannulation. This stabilized the field of view. The catheter was inserted on the right side of the guidewire. Cannulation to the 1 o'clock direction achieved biliary cannulation. Intended procedure was completed safely in the present case.
引用
收藏
页码：540 / 541
页数：2
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