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Erschienen in: Digestive Diseases and Sciences 1/2015

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. …
Literatur
1.
Zurück zum Zitat Scotiniotis I, Ginsberg GG. Endoscopic clip-assisted biliary cannulation: externalization and fixation of the major papilla from within a duodenal diverticulum using the endoscopic clip fixing device. Gastrointest Endosc. 1999;50:431–436.PubMedCrossRef Scotiniotis I, Ginsberg GG. Endoscopic clip-assisted biliary cannulation: externalization and fixation of the major papilla from within a duodenal diverticulum using the endoscopic clip fixing device. Gastrointest Endosc. 1999;50:431–436.PubMedCrossRef
2.
Zurück zum Zitat Huang CH, Tsou YK, Lin CH, Tang JH. Endoscopic retrograde cholangiopancreatography (ERCP) for intradiverticular papilla: endoclip-assisted biliary cannulation. Endoscopy. 2010;42:E223–E224.PubMedCrossRef Huang CH, Tsou YK, Lin CH, Tang JH. Endoscopic retrograde cholangiopancreatography (ERCP) for intradiverticular papilla: endoclip-assisted biliary cannulation. Endoscopy. 2010;42:E223–E224.PubMedCrossRef
3.
Zurück zum Zitat Ustündağ Y, Karakaya K, Aydemir S. Biliary cannulation facilitated by endoscopic clip assistance in the setting of intra-diverticular papilla. Turk J Gastroenterol. 2009;20:279–281.PubMed Ustündağ Y, Karakaya K, Aydemir S. Biliary cannulation facilitated by endoscopic clip assistance in the setting of intra-diverticular papilla. Turk J Gastroenterol. 2009;20:279–281.PubMed
4.
Zurück zum Zitat Leivonen MK, Halttunen JA, Kivilaakso EO. Duodenal diverticulum at endoscopic retrograde cholangiopancreatography, analysis of 123 patients. Hepatogastroenterology. 1996;43:961.PubMed Leivonen MK, Halttunen JA, Kivilaakso EO. Duodenal diverticulum at endoscopic retrograde cholangiopancreatography, analysis of 123 patients. Hepatogastroenterology. 1996;43:961.PubMed
5.
Zurück zum Zitat Fogel EL, Sherman S, Lehman GA. Increased selective biliary cannulation rates in the setting of periampullary diverticula: main pancreatic duct stent placement followed by pre-cut biliary sphincterotomy. Gastrointest Endosc. 1998;47:396–400.PubMedCrossRef Fogel EL, Sherman S, Lehman GA. Increased selective biliary cannulation rates in the setting of periampullary diverticula: main pancreatic duct stent placement followed by pre-cut biliary sphincterotomy. Gastrointest Endosc. 1998;47:396–400.PubMedCrossRef
6.
Zurück zum Zitat Fujita N, Noda Y, Kobayashi G, Kimura K, Yago A. ERCP for intradiverticular papilla: two-devices-in-one-channel method. Endoscopic retrograde cholangiopancreatography. Gastrointest Endosc. 1998;48:517–520.PubMedCrossRef Fujita N, Noda Y, Kobayashi G, Kimura K, Yago A. ERCP for intradiverticular papilla: two-devices-in-one-channel method. Endoscopic retrograde cholangiopancreatography. Gastrointest Endosc. 1998;48:517–520.PubMedCrossRef
7.
Zurück zum Zitat Tantau M1, Person B, Burtin P, Boyer J. Duodenal diverticula and ERCP: a new trick. Endoscopy. 1996;28:326. Tantau M1, Person B, Burtin P, Boyer J. Duodenal diverticula and ERCP: a new trick. Endoscopy. 1996;28:326.
8.
Zurück zum Zitat Tóth E, Lindström E, Fork FT. An alternative approach to the inaccessible intradiverticular papilla. Endoscopy. 1999;31:554–556.PubMedCrossRef Tóth E, Lindström E, Fork FT. An alternative approach to the inaccessible intradiverticular papilla. Endoscopy. 1999;31:554–556.PubMedCrossRef
9.
Zurück zum Zitat García-Cano J. ERCP cannulation of a hidden papilla within a duodenal diverticulum. Endoscopy. 2008;40:E53.PubMedCrossRef García-Cano J. ERCP cannulation of a hidden papilla within a duodenal diverticulum. Endoscopy. 2008;40:E53.PubMedCrossRef
10.
Zurück zum Zitat Mangiavillano B, Arcidiacono PG, Carrara S, Masci E, Testoni PA. EUS-guided rendezvous technique for difficult cannulation of an intradiverticular papilla. Endoscopy. 2008;40:E87–E88. Mangiavillano B, Arcidiacono PG, Carrara S, Masci E, Testoni PA. EUS-guided rendezvous technique for difficult cannulation of an intradiverticular papilla. Endoscopy. 2008;40:E87–E88.
11.
Zurück zum Zitat Lai R, Freeman ML. Endoscopic ultrasound-guided bile duct access for rendezvous ERCP drainage in the setting of intradiverticular papilla. Endoscopy. 2005;37:487–489.PubMedCrossRef Lai R, Freeman ML. Endoscopic ultrasound-guided bile duct access for rendezvous ERCP drainage in the setting of intradiverticular papilla. Endoscopy. 2005;37:487–489.PubMedCrossRef
12.
Zurück zum Zitat García-Cano J. Use of an ultrathin gastroscope to locate a papilla hidden within a duodenal diverticulum. Endoscopy. 2010;42:E96–E97.PubMedCrossRef García-Cano J. Use of an ultrathin gastroscope to locate a papilla hidden within a duodenal diverticulum. Endoscopy. 2010;42:E96–E97.PubMedCrossRef
13.
Zurück zum Zitat Park CS, Park CH, Koh HR, et al. Needle-knife fistulotomy in patients with periampullary diverticula and difficult bile duct cannulation. J Gastroenterol Hepatol. 2012;27:1480–1483.PubMedCrossRef Park CS, Park CH, Koh HR, et al. Needle-knife fistulotomy in patients with periampullary diverticula and difficult bile duct cannulation. J Gastroenterol Hepatol. 2012;27:1480–1483.PubMedCrossRef
14.
Zurück zum Zitat Kim HJ, Kim YS, Myung SJ, et al. A novel approach for cannulation to the ampulla within the diverticulum: double-catheter method. Endoscopy. 1998;30:S103–S104. Kim HJ, Kim YS, Myung SJ, et al. A novel approach for cannulation to the ampulla within the diverticulum: double-catheter method. Endoscopy. 1998;30:S103–S104.
15.
Zurück zum Zitat Wang BC, Shi WB, Zhang WJ, et al. Entering the duodenal diverticulum: a method for cannulation of the intradiverticular papilla. World J Gastroenterol. 2012;28:7394–7396.CrossRef Wang BC, Shi WB, Zhang WJ, et al. Entering the duodenal diverticulum: a method for cannulation of the intradiverticular papilla. World J Gastroenterol. 2012;28:7394–7396.CrossRef
16.
Zurück zum Zitat Myung DS, Park CH, Koh HR, et al. Cap-assisted ERCP in patients with difficult cannulation due to periampullary diverticulum. Endoscopy. 2014;46:352–355.PubMedCrossRef Myung DS, Park CH, Koh HR, et al. Cap-assisted ERCP in patients with difficult cannulation due to periampullary diverticulum. Endoscopy. 2014;46:352–355.PubMedCrossRef
17.
Zurück zum Zitat Külling D, Haskell E. Double endoscope method to access intradiverticular papilla. Gastrointest Endosc. 2005;62:811–812.PubMedCrossRef Külling D, Haskell E. Double endoscope method to access intradiverticular papilla. Gastrointest Endosc. 2005;62:811–812.PubMedCrossRef
18.
Zurück zum Zitat Maroy B. Use of a front-viewing scope after failure to cannulate a deep intradiverticular papilla. Endoscopy. 1998;30:S63.PubMedCrossRef Maroy B. Use of a front-viewing scope after failure to cannulate a deep intradiverticular papilla. Endoscopy. 1998;30:S63.PubMedCrossRef
19.
Zurück zum Zitat Qian Y, Huang J, Zhang Y, Ma LM, Fan ZN. Using a gastroscope to accomplish ERCP: a forward-viewing endoscope for cannulation of the intradiverticular papilla. Endoscopy. 2014;46:E139. Qian Y, Huang J, Zhang Y, Ma LM, Fan ZN. Using a gastroscope to accomplish ERCP: a forward-viewing endoscope for cannulation of the intradiverticular papilla. Endoscopy. 2014;46:E139.
20.
Zurück zum Zitat Cipolletta L, Bianco MA, Marmo R, et al. Endoclips versus heater probe in preventing early recurrent bleeding from peptic ulcer: a prospective and randomized trial. Gastrointest Endosc. 2001;53:147.PubMedCrossRef Cipolletta L, Bianco MA, Marmo R, et al. Endoclips versus heater probe in preventing early recurrent bleeding from peptic ulcer: a prospective and randomized trial. Gastrointest Endosc. 2001;53:147.PubMedCrossRef
21.
Zurück zum Zitat Anastassiades CP, Baron TH, Wong Kee Song LM. Endoscopic clipping for the management of gastrointestinal bleeding. Nat Clin Pract Gastroenterol Hepatol. 2008;5:559–568.PubMedCrossRef Anastassiades CP, Baron TH, Wong Kee Song LM. Endoscopic clipping for the management of gastrointestinal bleeding. Nat Clin Pract Gastroenterol Hepatol. 2008;5:559–568.PubMedCrossRef
22.
Zurück zum Zitat Mangiavillano B, Viaggi P, Masci E. Endoscopic closure of acute iatrogenic perforations during diagnostic and therapeutic endoscopy in the gastrointestinal tract using metallic clips: a literature review. J Dig Dis. 2010;11:12–18.PubMedCrossRef Mangiavillano B, Viaggi P, Masci E. Endoscopic closure of acute iatrogenic perforations during diagnostic and therapeutic endoscopy in the gastrointestinal tract using metallic clips: a literature review. J Dig Dis. 2010;11:12–18.PubMedCrossRef
23.
Zurück zum Zitat Alkhiari R, Jacob D, Kassam Z, Zaghlan OA, Tse F. Closure of a percutaneous endoscopic gastrostomy-associated nonhealing gastrocutaneous fistula using endoscopic hemoclips. Can J Gastroenterol. 2013;27:501–502.PubMedCentralPubMed Alkhiari R, Jacob D, Kassam Z, Zaghlan OA, Tse F. Closure of a percutaneous endoscopic gastrostomy-associated nonhealing gastrocutaneous fistula using endoscopic hemoclips. Can J Gastroenterol. 2013;27:501–502.PubMedCentralPubMed
24.
Zurück zum Zitat Weyman RL, Rao SS. A novel clinical application for endoscopic mucosal clipping. Gastrointest Endosc. 1999;49:522–524.PubMedCrossRef Weyman RL, Rao SS. A novel clinical application for endoscopic mucosal clipping. Gastrointest Endosc. 1999;49:522–524.PubMedCrossRef
Metadaten
Titel
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
Publikationsdatum
01.01.2015
Verlag
Springer US
Erschienen in
Digestive Diseases and Sciences / Ausgabe 1/2015
Print ISSN: 0163-2116
Elektronische ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-014-3321-1

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