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. 2022 Dec;54(S 02):E900-E901.
doi: 10.1055/a-1847-7609. Epub 2022 Jul 1.

A traction device to aid the intubation of a surgically altered bile duct during ERCP

Tsuyoshi Suda  1 , Masahiro Yanagi  1 , Naoki Oishi  1 , Eiki Matsushita  1
Affiliations

A traction device to aid the intubation of a surgically altered bile duct during ERCP

Tsuyoshi Suda et al. Endoscopy. 2022 Dec.
No abstract available

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Intubating the common bile duct was not possible with conventional methods.
Fig. 2
Fig. 2
Images showing kinking of the end of the common bile duct due to postoperative effects. a Computed tomography. b Magnetic resonance cholangiopancreatography.
Fig. 3
Fig. 3
Application of the traction device. a An S-O clip (Zeon Medical Inc., Tokyo, Japan) was connected to the oral side of the ampulla of Vater and the loop of the clip was grasped. b The clip was secured proximally for traction.
Fig. 4
Fig. 4
Effect of the traction device on the common bile duct (CBD). a The torsion of the CBD was resolved, and the ampulla of Vater was fixed at the front. b Intubation of the CBD was then easily performed.
Fig. 5
Fig. 5
A summary of the traction technique used in our patient.
See this image and copyright information in PMC

References

    1. Freeman M L, Guda N M. ERCP cannulation: a review of reported techniques. Gastrointest Endosc. 2005;61:112–125. - PubMed
    1. Inoue R, Kawakami H, Kubota Y et al.Endoscopic biliary intervention using traction devices for periampullary diverticulum. Intern Med. 2019;58:2797–2801. - PMC - PubMed
    1. Takeshita K, Asai S, Fujimoto N et al.Usefulness of the S-O clip in balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography. Endoscopy. 2021;53:E372–E373. - PubMed

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