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Hidden papilla and periampullary diverticulum: Curtain up for stacked folds

Proper identification of the Vaterian papilla is a vital prerequisite for success in endoscopic retrograde cholangiopancreatography. Overall, a “hidden papilla” situation is uncommon, often attributable to, for example, intradiverticular localizations in a setting of periampullary diverticulum. Stac...

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Detalles Bibliográficos
Autor principal: Zimmer, Vincent
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wiley Publishing Asia Pty Ltd 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6891030/
https://www.ncbi.nlm.nih.gov/pubmed/31832556
http://dx.doi.org/10.1002/jgh3.12147
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author Zimmer, Vincent
author_facet Zimmer, Vincent
author_sort Zimmer, Vincent
collection PubMed
description Proper identification of the Vaterian papilla is a vital prerequisite for success in endoscopic retrograde cholangiopancreatography. Overall, a “hidden papilla” situation is uncommon, often attributable to, for example, intradiverticular localizations in a setting of periampullary diverticulum. Stacked duodenal folds precluding proper endoscopic visualization of the papilla is less well discussed, with virtually no systematic data available. A concurrent presence of the former potential obstacles to an immediate recognition of the papilla has not been reported before. With a view of the sometimes challenging task of finding (and cannulating) a periampullary diverticulum‐related papilla, suggestions are made to first scrutinize curtaining duodenal folds, for example, by endoscopic probing with an endoscopic retrograde cholangiopancreatography catheter as this may represent a more easily remediable cause underlying a “hidden papilla.”
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spelling pubmed-68910302019-12-12 Hidden papilla and periampullary diverticulum: Curtain up for stacked folds Zimmer, Vincent JGH Open Case Reports Proper identification of the Vaterian papilla is a vital prerequisite for success in endoscopic retrograde cholangiopancreatography. Overall, a “hidden papilla” situation is uncommon, often attributable to, for example, intradiverticular localizations in a setting of periampullary diverticulum. Stacked duodenal folds precluding proper endoscopic visualization of the papilla is less well discussed, with virtually no systematic data available. A concurrent presence of the former potential obstacles to an immediate recognition of the papilla has not been reported before. With a view of the sometimes challenging task of finding (and cannulating) a periampullary diverticulum‐related papilla, suggestions are made to first scrutinize curtaining duodenal folds, for example, by endoscopic probing with an endoscopic retrograde cholangiopancreatography catheter as this may represent a more easily remediable cause underlying a “hidden papilla.” Wiley Publishing Asia Pty Ltd 2019-02-04 /pmc/articles/PMC6891030/ /pubmed/31832556 http://dx.doi.org/10.1002/jgh3.12147 Text en © 2019 The Author. 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
Zimmer, Vincent
Hidden papilla and periampullary diverticulum: Curtain up for stacked folds
title Hidden papilla and periampullary diverticulum: Curtain up for stacked folds
title_full Hidden papilla and periampullary diverticulum: Curtain up for stacked folds
title_fullStr Hidden papilla and periampullary diverticulum: Curtain up for stacked folds
title_full_unstemmed Hidden papilla and periampullary diverticulum: Curtain up for stacked folds
title_short Hidden papilla and periampullary diverticulum: Curtain up for stacked folds
title_sort hidden papilla and periampullary diverticulum: curtain up for stacked folds
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6891030/
https://www.ncbi.nlm.nih.gov/pubmed/31832556
http://dx.doi.org/10.1002/jgh3.12147
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