Tóth E, Lindström E, Fork F T
Dept. of Diagnostic Radiology, Malmö University Hospital, Lund University, Malmö, Sweden.
Endoscopy. 1999 Sep;31(7):554-6. doi: 10.1055/s-1999-59.
In patients with a narrow-necked juxtapapillary diverticulum the endoscopic cannulation of the papilla of Vater and the subsequent biliary therapy is sometimes impossible.
Three patients referred for endoscopic retrograde cholangiography and stone extraction were included. Earlier attempts to cannulate failed because visual control was impeded by narrow-necked juxtapapillary diverticula with the papilla located in the fundus. Endoscopic balloon dilation of the narrow diverticular neck, using a 15-mm stone retrieval balloon, was carried out.
In all three cases the papillary orifice was readily brought into view after balloon dilation of the diverticular opening. Subsequent endoscopic treatment to the bile duct was successful without any complications.
Balloon dilation of a narrow-necked juxtapapillary diverticulum is a safe and easy procedure, which facilitates both cannulation of the papilla and subsequent biliary endoscopic treatment.
在患有窄颈乳头旁憩室的患者中，有时无法通过内镜对 Vater 乳头进行插管及后续的胆道治疗。
纳入了 3 例因内镜逆行胆管造影和结石取出术前来就诊的患者。早期插管尝试失败，因为位于憩室底部的乳头被窄颈乳头旁憩室阻碍了视觉控制。使用 15 毫米结石取出球囊对狭窄的憩室颈部进行内镜球囊扩张。
在所有 3 例病例中，憩室开口球囊扩张后，乳头开口很容易被看到。随后对胆管进行的内镜治疗成功，无任何并发症。
窄颈乳头旁憩室的球囊扩张是一种安全且简便的操作，有助于乳头插管及后续的胆道内镜治疗。
