title: Clip and endoloop lifting technique to assist cannulation of a hardly reachable papilla because of anatomical changes due to surgery.
abstract: Bile duct cannulation by ERCP can be difficult because of different reasons. We present a patient with a hardly reachable papilla because of anatomical changes due to surgery. A clip, an endoloop and a guide wire were used to lift the papilla and pull it, achieving a successful cannulation.
authors.affiliation: Unidad de Endoscopias, Clínica Universidad de Navarra, España.
authors.forename: Maite
authors.initials: M
authors.lastname: Alonso Sierra
authors.affiliation: Aparato Digestivo, Clínica Universidad de Navarra.
authors.forename: Santiago
authors.initials: S
authors.lastname: González Vázquez
authors.affiliation: Aparato Digestivo, Clínica Universidad de Navarra.
authors.forename: Miguel
authors.initials: M
authors.lastname: Muñoz-Navas
mesh_terms: D014670:Ampulla of Vater / Q000000981:diagnostic imaging / Q000601:surgery*; D002404:Catheterization / Q000379:methods*; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods; D004322:Drainage; D004384:Duodenoscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D016717:Sphincterotomy, Endoscopic; D015607:Stents; D013525:Surgical Instruments