Successful endoscopic retrograde cholangiopancreatography using pancreatic guidewire placement for biliary cannulation in a patient with situs inversus and Billroth‐I gastrectomy (with video)

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, pancre...

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Autores principales: Tanisaka, Yuki, Ryozawa, Shomei, Sudo, Kosuke, Fujita, Akashi, Mizuide, Masafumi, Nonaka, Kouichi, Tashima, Tomoaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wiley Publishing Asia Pty Ltd 2019
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6891017/
https://www.ncbi.nlm.nih.gov/pubmed/31832558
http://dx.doi.org/10.1002/jgh3.12163
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author Tanisaka, Yuki
Ryozawa, Shomei
Sudo, Kosuke
Fujita, Akashi
Mizuide, Masafumi
Nonaka, Kouichi
Tashima, Tomoaki
author_facet Tanisaka, Yuki
Ryozawa, Shomei
Sudo, Kosuke
Fujita, Akashi
Mizuide, Masafumi
Nonaka, Kouichi
Tashima, Tomoaki
author_sort Tanisaka, Yuki
collection PubMed
description 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.
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spelling pubmed-68910172019-12-12 Successful endoscopic retrograde cholangiopancreatography using pancreatic guidewire placement for biliary cannulation in a patient with situs inversus and Billroth‐I gastrectomy (with video) Tanisaka, Yuki Ryozawa, Shomei Sudo, Kosuke Fujita, Akashi Mizuide, Masafumi Nonaka, Kouichi Tashima, Tomoaki JGH Open Case Reports 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. Wiley Publishing Asia Pty Ltd 2019-02-20 /pmc/articles/PMC6891017/ /pubmed/31832558 http://dx.doi.org/10.1002/jgh3.12163 Text en © 2019 The Authors. JGH Open: An open access journal of gastroenterology and hepatology published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Reports
Tanisaka, Yuki
Ryozawa, Shomei
Sudo, Kosuke
Fujita, Akashi
Mizuide, Masafumi
Nonaka, Kouichi
Tashima, Tomoaki
Successful endoscopic retrograde cholangiopancreatography using pancreatic guidewire placement for biliary cannulation in a patient with situs inversus and Billroth‐I gastrectomy (with video)
title Successful endoscopic retrograde cholangiopancreatography using pancreatic guidewire placement for biliary cannulation in a patient with situs inversus and Billroth‐I gastrectomy (with video)
title_full Successful endoscopic retrograde cholangiopancreatography using pancreatic guidewire placement for biliary cannulation in a patient with situs inversus and Billroth‐I gastrectomy (with video)
title_fullStr Successful endoscopic retrograde cholangiopancreatography using pancreatic guidewire placement for biliary cannulation in a patient with situs inversus and Billroth‐I gastrectomy (with video)
title_full_unstemmed Successful endoscopic retrograde cholangiopancreatography using pancreatic guidewire placement for biliary cannulation in a patient with situs inversus and Billroth‐I gastrectomy (with video)
title_short Successful endoscopic retrograde cholangiopancreatography using pancreatic guidewire placement for biliary cannulation in a patient with situs inversus and Billroth‐I gastrectomy (with video)
title_sort successful endoscopic retrograde cholangiopancreatography using pancreatic guidewire placement for biliary cannulation in a patient with situs inversus and billroth‐i gastrectomy (with video)
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6891017/
https://www.ncbi.nlm.nih.gov/pubmed/31832558
http://dx.doi.org/10.1002/jgh3.12163
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