Erschienen in:
01.01.2015 | Case Report
Endoclips to Facilitate Cannulation and Sphincterotomy During ERCP in a Patient with an Ampulla Within a Large Duodenal Diverticulum: Case Report and Literature Review
verfasst von:
Mitchell S. Cappell, Estela Mogrovejo, Palaniappan Manickam, Mihaela Batke
Erschienen in:
Digestive Diseases and Sciences
|
Ausgabe 1/2015
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Excerpt
Cannulation and sphincterotomy of the ampulla may be technically challenging at endoscopic retrograde cholangiopancreatography (ERCP) when the ampulla is located within a duodenal diverticulum because of obscuring of the ampulla and approaching it from an awkward angle. Successful application of endoclips to expose and facilitate cannulation of an ampulla within a duodenal diverticulum has been reported for three cases of diagnostic ERCP [
1,
2] and one case of therapeutic ERCP [
3]. A second case is hereby reported of clinically beneficial, successful, therapeutic ERCP using endoclips. …