Entering the duodenal diverticulum:A method for cannulation of the intradiverticular papilla  

作　　者：Bao-Can Wang Wei-Bin Shi Wen-Jie Zhang Jun Gu Yi-Jing Tao Yu-Qin Wang Xue-Feng Wang 

机构地区：[1]Department of Gastroenterology,Xinhua Hospital,Shanghai Jiaotong University School of Medicine [2]Department of General Surgery,Xinhua Hospital,Shanghai Jiaotong University School of Medicine

出　　处：《World Journal of Gastroenterology》2012年第48期7394-7396,共3页世界胃肠病学杂志（英文版）

基　　金：Supported by National Natural Science Foundation of China,No. 30900671;Shanghai Natural Science Foundation,No. 09ZR1419700

摘　　要：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.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.

关 键 词：Endoscopic retrograde cholangiopancrea-tography Intradiverticular papilla Duodenoscope 

分 类 号：R657.4[医药卫生—外科学]