title: Entering the duodenal diverticulum: a method for cannulation of the intradiverticular papilla.
abstract: Successful cannulation of the common bile duct may be difficult in patients in whom the papilla is located entirely within a diverticulum. In this study, we report successful biliary cannulation in three patients following intubation of the distal tip of the duodenoscope into the duodenal diverticulum and locating the major papilla. No complications occurred during the operation or during the postoperative period. This method didn't need second incubation an endoscope and might lower the burden of patients. So this skill is useful to deal with the papilla hidden inside the large diverticulum because of its safety and convenience.
authors: Department of Gastroenterology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200092, China.
authors: Bao-Can
authors: BC
authors: Wang
authors: Wei-Bin
authors: WB
authors: Shi
authors: Wen-Jie
authors: WJ
authors: Zhang
authors: Jun
authors: J
authors: Gu
authors: Yi-Jing
authors: YJ
authors: Tao
authors: Yu-Qin
authors: YQ
authors: Wang
authors: Xue-Feng
authors: XF
authors: Wang
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002404:Catheterization / Q000379:methods*; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004240:Diverticulum / Q000601:surgery*; D020698:Duodenoscopes; D004384:Duodenoscopy / Q000379:methods; D004386:Duodenum / Q000601:surgery*; D006801:Humans; D008297:Male
keywords: Duodenoscope; Endoscopic retrograde cholangiopancreatography; Intradiverticular papilla