Successful endoscopic retrograde cholangiopancreatography using pancreatic guidewire placement for biliary cannulation in a patient with situs inversus and Billroth‐I gastrectomy (with video)
| Autor: | Akashi Fujita, Shomei Ryozawa, Masafumi Mizuide, Kouichi Nonaka, Tomoaki Tashima, Yuki Tanisaka, Kosuke Sudo |
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| Rok vydání: | 2019 |
| Předmět: |
Billroth‐I gastrectomy
medicine.medical_specialty medicine.medical_treatment Case Report Pancreatic duct cannulation Case Reports RC799-869 situs inversus ERCP 03 medical and health sciences 0302 clinical medicine medicine Billroth I Endoscopic retrograde cholangiopancreatography Hepatology medicine.diagnostic_test business.industry Situs inversus viscerum Gastroenterology Diseases of the digestive system. Gastroenterology medicine.disease Surgery Situs inversus Catheter pancreatic guidewire placement for biliary cannulation 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Gastrectomy business |
| Zdroj: | JGH Open, Vol 3, Iss 6, Pp 540-541 (2019) JGH Open: An Open Access Journal of Gastroenterology and Hepatology |
| ISSN: | 2397-9070 |
| DOI: | 10.1002/jgh3.12163 |
| Popis: | 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. We report successful biliary cannulation in a patient with situs inversus and Billroth‐I gastrectomy using pancreatic guidewire placement. |
| Databáze: | OpenAIRE |
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